Patient Post-Operative Survey

Office Staff Procedures

During your visit to our office, was our staff courteous and helpful?
    Yes      No

Front Desk Personnel were:
    Excellent      Best      Average      Poor      Unnacceptable

The Consultation Process

Was your consultation educational and helpful in understanding the surgery to be done?     Yes      No

Were all of your questions answered?     Yes      No

Was accreditation of the surgeon important to you?     Yes      No

Was accreditation of the facility important to you?     Yes      No

Did you consider another plastic surgery office?     Yes      No

If Yes, Why did you choose our office instead of another?

If No, why did you only consider our office?

Patient Satisfaction

Do you feel the staff was easily accessible if you had a question or concern?     Yes      No

Is there anything the staff could have done to improve your experience?
    Yes      No

If Yes, what?

Surgery

Did your pre and post-operative care meet your needs?     Yes      No

How do you feel about your surgical results?

Your overall experience:
   Excellent      Best      Average      Poor      Unnacceptable

If pain was an issue, was it addressed and controlled?     Yes      No

Did the treatment and services we provided meet your needs and expectations?     Yes      No

If No, What could we have done differently?

If you were to have plastic surgery again, would you return to our office?     Yes      No

Would you refer your family and/or friends to Alfonso Barrera, M.D., F.A.C.S.?     Yes      No

Do you have any suggestions or comments on how we could improve safety and comfort?