Patient Satisfaction Survey for Van Dam Dermatology & Laser Center and Versa Medi Spa

Question Title

* Rank our Front Office

	Excellent	Average	Poor	Unsatisfactory
Check in	Check in Excellent	Check in Average	Check in Poor	Check in Unsatisfactory
Check out	Check out Excellent	Check out Average	Check out Poor	Check out Unsatisfactory
Appointment availability	Appointment availability Excellent	Appointment availability Average	Appointment availability Poor	Appointment availability Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

Comment

Question Title

* Rank our Billing Department

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Understood statement	Understood statement Excellent	Understood statement Average	Understood statement Poor	Understood statement Unsatisfactory
Ease of payment	Ease of payment Excellent	Ease of payment Average	Ease of payment Poor	Ease of payment Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

Comment

Question Title

* Rank our Medical Providers

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Explained diagnosis	Explained diagnosis Excellent	Explained diagnosis Average	Explained diagnosis Poor	Explained diagnosis Unsatisfactory
Length of time in office	Length of time in office Excellent	Length of time in office Average	Length of time in office Poor	Length of time in office Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

Comment

Question Title

* Rank our 3D Imaging/Cosmetic Consult

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Photos explained	Photos explained Excellent	Photos explained Average	Photos explained Poor	Photos explained Unsatisfactory
Length of time in office	Length of time in office Excellent	Length of time in office Average	Length of time in office Poor	Length of time in office Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

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Question Title

* Rank our Laser Procedures

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Satisfactory results	Satisfactory results Excellent	Satisfactory results Average	Satisfactory results Poor	Satisfactory results Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

Comment

Question Title

* Rank our Cosmetic Procedures

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Satisfactory results	Satisfactory results Excellent	Satisfactory results Average	Satisfactory results Poor	Satisfactory results Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

Comment

Question Title

* Esthetic Procedures (Versa Medi Spa)

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Satisfactory results	Satisfactory results Excellent	Satisfactory results Average	Satisfactory results Poor	Satisfactory results Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

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Question Title

* Product Purchases

	Excellent	Average	Poor	Unsatisfactory
Questions answered	Questions answered Excellent	Questions answered Average	Questions answered Poor	Questions answered Unsatisfactory
Satisfactory results	Satisfactory results Excellent	Satisfactory results Average	Satisfactory results Poor	Satisfactory results Unsatisfactory
Courteous	Courteous Excellent	Courteous Average	Courteous Poor	Courteous Unsatisfactory

Comment

Question Title

* What are we doing right in our practice?

Question Title

* What can we improve on in our practice?