Cosmetic Consultation Survey Question Title * 1. How professional was the staff at Williams Plastic Surgery? Extremely professional Very professional Moderately professional Slightly professional Not at all professional Comments Question Title * 2. Please rate the personal interest shown to you by personnel. Excellent Good Moderate Fair Poor Comments Question Title * 3. If you scheduled your consultation via telephone, were we able to answer all questions asked during the initial phone call? Yes No Comments Question Title * 4. How thorough were the procedure descriptions you received? Extremely thorough Very thorough Moderately clear Slightly Unclear Incomplete Comments Question Title * 5. How well were your financial quote and payment options, including financing, explained? Excellently explained Well explained Moderately explained Slightly explained Not explained Comments Question Title * 6. How comfortable did you find the facility? Please consider lighting, furnishings and temperature in waiting area, exam rooms and consult rooms. Extremely Comfortable Very Comfortable Moderately Comfortable Fairly Comfortable Uncomfortable Other (please specify) Question Title * 7. Please rate your overall experience at Williams Plastic Surgery. Excellent Good Moderate Fair Poor Comments Question Title * 8. What did you like most about your consultation experience? Question Title * 9. What did you like least about your consultation experience? How can we improve it for future patients? Question Title * 10. Please list any general comments, suggestions, or employees who provided exceptional service: Next