Cosmetic Patient Satisfaction Survey

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* 1. When you scheduled your cosmetic appointment, was the scheduler friendly and helpful?

Yes

If not, please explain (please let us know the employees name)

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* 2. Which office were you seen at last?

Concord, MA

Leominster, MA

Marlborough, MA

Wellesley, MA

Westford, MA

Manchester, NH

Wolfeboro, NH

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* 3. Was the receptionist friendly and helpful?

Yes

If not, please explain

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* 4. How long did you wait to be taken into an exam room?

Less than 15 minutes

Less than 30 minutes

More than 30 minutes

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* 5. If you waited more than 15 minutes, were you informed that there would be a delay?

Yes

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* 6. Which cosmetic provider did you see?

Samuel D. Goos, MD

Kathleen M. Joyce, MD

Christy M. Williams, MD

Benjamin Solky, MD

Jennifer P. Toyohara, MD

Janice Cleveland Washburn, MD

Michael S. Krathen, MD

Frank P. Fechner, MD

Donna P. Kulas, DCNP

Denise Judson, RE

Cristie Downing

Cara Parent, RN

Elizabeth Lazaro, RN

Celeste Kilmartin, RN

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* 7. Was your Dermatologist, Nurse Practitioner/Aesthetician attentive to your cosmetic needs?

Yes

If not, please explain

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* 8. Was the check-out person friendly and helpful?

Yes

If not, please explain (please let us know the employees name)

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* 9. If you purchased an Allergan product (Botox®, Juvederm®, Juvederm® Voluma, SkinMedica®), were you informed about Brilliant Distinctions®?

Yes

I did not purchase an Allergan product

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* 10. If so, did the check-out staff offer to help sign you up for Brilliant Distinctions®?

Yes

Not applicable

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* 11. If you had Botox® or filler (Juvederm®, Juvederm Voluma XC®, Radiesse®, Restylane®, Restylane Silk®, Belotero®, Sculptra®), did the check out staff tell you about "Make a Commitment" where if you schedule your next Botox® or filler appointment and keep that date, you will receive 10% off of that next visit?

Yes

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* 12. Would you recommend the APDerm® Center for Cosmetic Services to a family member or friend?

Yes

If not, please explain

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* 13. If you would like to provide us with any additional comments, please type them below. In addition, if you would like to speak with someone about your experience, please call Heidi Kidd at 978-849-7503. Thank you!