Patient Feedback Questionnaire

Please take a few moments to share your thoughts and experience with us. Your feedback will help us to serve you better.

  1. 1. When you called for an appointment, were you satisfied with the response from the person who answered the telephone?
  3. 2. When you arrived at the office, were you greeted in a friendly and courteous manner?
  5. 3. How long was the waiting time in the reception area?
  7. 4. During the consultation, did you find the consultant to be friendly and courteous?
  9. 5. Did the physician/consultant/technician spend an appropriate amount of time with you, answer your questions, and explain cosmetic procedures and treatments to your satisfaction?
  11. 6. Did you feel that you were given too much information?
  13. 7. If you had a treatment, did you feel that the service provider was knowledgeable and provided a comfortable and good treatment?
  15. 8. Did you find our office to be a positive experience? If not, what was the main reason you decided not to book one or more appointments? Do you have any suggestions as to how we can improve?
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