:::: Renaissance Plastic Surgery ::::

After-Care Survey

Renaissance Plastic Surgery Center is committed to providing you with the utmost in compassion and excellent care. Please take a moment to answer the following questions:

What was the date of your visit?
Upon arrival, were you welcomed in a prompt, friendly and professional manner?	Yes No
If No, Please Explain:
Was your time in the waiting room appropriate?	Yes No
If No, Please Explain:
Were you treated professionally and kindly in the exam room?	Yes No
If No, Please Explain:
Was the time allotted for your appointment appropriate in order to answer all of your questions?	Yes No
If No, Please Explain:
Did the staff express care and concern for you?	Yes No
If No, Please Explain:
Did the staff take the time to answer all of your questions?	Yes No
If No, Please Explain:
Did we meet or exceed your expectations?	Yes No
If No, Please Explain:
How can we improve our service to you?

Name (Required)
Email (Required)
Date