Cosmetic Patient Satisfaction Survey

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* 1. Which office were you seen at last?

Ayer, MA

Concord, MA

Leominster, MA

Manchester, NH

Marlborough, MA

Waltham, MA

Wellesley, MA

Westford, MA

Wolfeboro, NH

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* 2. Was the receptionist at the check-in and check-out desk friendly and helpful?

Yes

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

Yes

Not Applicable

Other (please specify)

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* 4. Which cosmetic provider did you see?

Samuel D. Goos, MD

Kathleen M. Joyce, MD

Christy M. Williams, MD

Jennifer P. Toyohara, MD

Benjamin Solky, MD

Janice Cleveland Washburn, MD

Hamad Alabudulrazzaq, MD (Razzaq)

Frank P. Fechner, MD

Donna P. Kulas, DCNP

Denise Judson, RE, Aesthetician

Cristie Downing, Aesthetician

Elizabeth Lazaro, RN

Celeste Kilmartin, RN

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

Yes

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* 6. If you purchased an Allergan product (Botox®, Juvederm®, Juvederm® Voluma, Radiesse®, Restylane®, SkinMedica®, Volbella®, Vollure®, Voluma® XC, Sculptra®), were you informed about Brilliant Distinctions®? If so, did the check-out staff offer to help you sign up for Brilliant Distinctions®?

Yes

I did not purchase an Allergan product

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* 7. If you had Botox® or filler (Belotero®, Juvederm®, Juvederm Voluma XC®, Radiesse®, Restylane®, Restylane Silk®, Volbella®, Vollure®, 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 (no reschedules), you will receive 10% off of that next visit?

Yes

Not applicable

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

Yes

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* 9. How did you hear about us?

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* 10. Dear Valued Patient,

Our providers and staff at APDerm® strive to make each visit exceptional. We appreciate all positive feedback however, if you were not satisfied with the care received, we would love the opportunity to call you and discuss what happened. We need your feedback to help improve future visits. We appreciate you selecting APDerm® for your dermatologic care. Thank you for taking the time to fill out this survey; our management team reviews every response. 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!