100% of survey complete.

Hi and welcome to our survey!

This survey is being conducted by Dr. Paul Leong from Obesity Surgery Adelaide. The survey is regarding your satisfaction and experience with the Lap-Band® System gastric banding procedure at our clinic. Your opinions and experience are very important to us and will help us to better understand our patients and their needs.

Your privacy is important to us. The information collected in this survey is reported in aggregate form only and you will not be personally identified.

The survey will take approximately of 10 minutes to complete.


Q1. Gender?:




Age?

INTRO AND WEIGHT


When did you have the Lap-Band® System gastric band inserted?

Overall, how satisfied are you with the results of the Lap-Band® System gastric banding procedure at our clinic?




How much do you currently weigh without shoes? Please type in your weight to the best of your knowledge in kg.

How much did you weigh without shoes just prior to the Lap-Band® System gastric banding procedure? Please type in your weight to the best of your knowledge – in kg.


DIET EXERCISE AND HEALTH
This next section is about nutrition and exercise.

In your opinion, currently how healthy is your diet?

Approximately how often do you currently see a doctor?

Approximately how often did you see a doctor prior to having Lap-Band® System gastric banding procedure?

WEIGHT LOSS

Who was the MAIN influence on you to have the Lap-Band® System procedure? Please select all that apply:

PATIENT DECISION-MAKING PROCESS

How did you first become aware of the Lap-Band® System gastric banding procedure?

Thinking back to when you first became aware of the Lap-Band® System gastric banding procedure, how did your perceptions of it compare to any other weight loss program you had previously attempted?

What triggered you to first start searching for more information on the Lap-Band® System gastric banding procedure?

How did you find our clinic?

Which of the following statements applies to you?

How much time elapsed between you first considering a Lap-Band® System gastric banding procedure and actually having the surgery?

Did you attend a Lap-Band® System gastric banding procedure information session?

IF YOU ATTENDED AN INFORMATION SESSION:
After attending the information session, how likely were you to have the Lap-Band® System gastric banding procedure?

Lap-Band® System - EXPERIENCE AND MOTIVATIONS

Has the Lap-Band® System gastric banding procedure had a positive long term impact on managing your weight?


In terms of effectively reaching your weight loss goal, how would you compare the Lap-Band® gastric banding procedure with other weight loss programs you have tried in the past?

How likely are you to recommend the Lap-Band® System gastric banding procedure to others, such as family, friends or colleagues?

  1 - Not at all likely 2 3 4 5 6 7 8 9 10 - Extremely likely
Please rate between 1 to 10

Have you actually recommended the Lap-Band® System gastric banding procedure to others?

To your knowledge, has anyone that you’ve recommended the Lap-Band® System gastric banding procedure to actually had the procedure with our clinic?

How satisfied or dissatisfied were you with the following elements of the Lap-Band® System procedure with our clinic?

  Very satisfied Satisfied Neither/nor Dissatisfied Very dissatisfied Not applicable
Safety of the procedure
Value for money
Band adjustments
Nutritionist
Psychologist
Level of post-surgery discomfort
Specialist/surgeon
Follow up support programs

Further feedback comments (optional):
Please add any further comments that you believe would help to fine tune our support programs.

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