Exit this survey Cosmetic Patient Satisfaction Survey Question Title * 1. When you scheduled your cosmetic appointment, was the scheduler friendly and helpful? Yes No If not, please explain (please let us know the employees name) Question Title * 2. Which office were you seen at last? Concord, MA Leominster, MA Marlborough, MA Wellesley, MA Westford, MA Manchester, NH Wolfeboro, NH Question Title * 3. Was the receptionist friendly and helpful? Yes No If not, please explain Question Title * 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 Question Title * 5. If you waited more than 15 minutes, were you informed that there would be a delay? Yes No Question Title * 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 Question Title * 7. Was your Dermatologist, Nurse Practitioner/Aesthetician attentive to your cosmetic needs? Yes No If not, please explain Question Title * 8. Was the check-out person friendly and helpful? Yes No If not, please explain (please let us know the employees name) Question Title * 9. If you purchased an Allergan product (Botox®, Juvederm®, Juvederm® Voluma, SkinMedica®), were you informed about Brilliant Distinctions®? Yes No I did not purchase an Allergan product Question Title * 10. If so, did the check-out staff offer to help sign you up for Brilliant Distinctions®? Yes No Not applicable Question Title * 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 No Question Title * 12. Would you recommend the APDerm® Center for Cosmetic Services to a family member or friend? Yes No If not, please explain Question Title * 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! Done