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DLC Medaesthetica Patient Satisfaction Survey

 

1. Were you greeted in a friendly, overall satisfactory manner when you entered the clinic for your appointment?

Were you greeted in a friendly, overall satisfactory manner when you entered the clinic for your appointment?   Poor Fair Good Very Good Excellent

2. At your last clinic visit, your wait time was approximately (in minutes):

At your last clinic visit, your wait time was approximately (in minutes):

3. How satisfied are you with the clinic's overall appearance and atmosphere?

How satisfied are you with the clinic's overall appearance and atmosphere?   Very Satisfied Satisfied Undecided Somewhat Dissatisfied Dissatisfied

4. Did the individual performing your treatment create a comfortable atmosphere and encourage open dialogue to address all of your questions and concerns?

Did the individual performing your treatment create a comfortable atmosphere and encourage open dialogue to address all of your questions and concerns?   Most Definitely Definitely Somewhat Not at all

5. Was appropriate time given during your treatment to have all questions and concerns answered?

Was appropriate time given during your treatment to have all questions and concerns answered?   Yes No

6. Did the person performing your treatment or office staff member go over your post-treatment instructions before your appointment was over?

Did the person performing your treatment or office staff member go over your post-treatment instructions before your appointment was over?   Yes No

7. Did you receive or were you given the opportunity to book a follow-up appointment or any post-procedure contact from the office?

Did you receive or were you given the opportunity to book a follow-up appointment or any post-procedure contact from the office?   Yes No

8. How satisfied were you with your overall experience?(Regarding both your treatment results and overall experience within our practice)

How satisfied were you with your overall experience?(Regarding both your treatment results and overall experience within our practice)   Very Satisfied Satisfied Undecided Dissatisfied Very Dissatisfied

9. Would you return to our practice for repeat treatment or for another service we offer?

Would you return to our practice for repeat treatment or for another service we offer?   Yes No

If no, please explain why:

10. Would you refer a friend to our clinic?

Would you refer a friend to our clinic?   Yes No

If no, please explain why.