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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 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?
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