Dr. Fodero - Plastic Surgery Consultation Survey
First Name:
Last Name:
Address me as:
Email:
1. How satisfied are you with:
Dissatisfied
Somewhat Dissatisfied
Satisfied
Highly Satisfied
The sign-in process:
The timeliness of your appointment:
The way information was shared with you:
The overall care given by staff:
The overall care given by doctor:
2. How much do you agree with the following?
Dissatisfied
Somewhat Dissatisfied
Satisfied
Highly Satisfied
The doctor treated me with respect:
The doctor listened to me:
The doctor seemed to care about my feelings:
The doctor and staff worked well as a team:
The doctor told me all I need to know:
The staff helped me when I needed help:
I felt comfortable asking questions:
I was comfortable during the exam:
I understand the proposed treatment plan:
I know who to call if I have questions: