Patient Post-Operative Survey We want to give you the best possible care! To do that, we need your feedback. Please let us know how we are doing by taking a moment and filling out the following patient survey form. Thank you Office Staff ProceduresDuring your visit to our office, was our staff courteous and helpful?YesNoFront Desk Personnel were:ExcellentBestAveragePoorUnnacceptableThe Consultation ProcessWas your consultation educational and helpful in understanding the surgery to be done?YesNoWere all of your questions answered?YesNoWas accreditation of the surgeon important to you?YesNoWas accreditation of the facility important to you?YesNoDid you consider another plastic surgery office?YesNoIf Yes, Why did you choose our office instead of another?If No, why did you only consider our office?Patient SatisfactionDo you feel the staff was easily accessible if you had a question or concern?YesNoIs there anything the staff could have done to improve your experience?YesNoIf Yes, what?SurgeryDid your pre and post-operative care meet your needs?YesNoHow do you feel about your surgical results?Your overall experience:ExcellentBestAveragePoorUnnacceptableIf pain was an issue, was it addressed and controlled?YesNoDid the treatment and services we provided meet your needs and expectations?YesNoIf No, What could we have done differently?If you were to have plastic surgery again, would you return to our office?YesNoWould you refer your family and/or friends to Alfonso Barrera, M.D., F.A.C.S.?YesNoDo you have any suggestions or comments on how we could improve safety and comfort?To thwart Spambots, we ask that you use the Captcha below and submit. This iframe contains the logic required to handle Ajax powered Gravity Forms.
