Breast augmentation review by Chrystal


Thank you for taking the time to complete the following questionaire. Please circle, check, or fill in your responses. Return it in the enclosed self-addressed, stamped envelope.


What procedure(s) did you have performed during your most recent surgery?Breast augmentation
How would you rate your final result(s)

Excellent ........................... Poor

Would you recommend our practise to your friends?

What was the best part about your consult?

Dr Rodriguez made me feel so comfortable / he made me try on different sizes of implants in a bra and check myself out in a mirror, patiently letting me go thru different sizes until I was happy! 

Why did you select Dr. Rodriguez and our office for your surgery?

Multiple friends of mine had great experiences and phenominal results with Dr Rodriguez 

What else could we have done to help you prepare for your surgery?

Nothing. Every question was answered. All steps explained in detail. 

How was your experience with the anestheologist?

Ae was very sweet and very thorough getting my medical history 

Please indicate your experience in the recovery room:
Duration of recovery room time

Temperature in the recovery room

My pain management in the recovery room

Other, please explain:

Everything was better than I could ever have imagined! Especially my body now! 

Would you return to this office if you decide to have additional surgery

 

Which of the following factors influenced you to choose Dr. Rodriguez?

 

 


Were your telephone calls to our office handled to your satisfaction?

Additional comment about telephone handling

 

Were you satisfied with the way your surgery was scheduled?

Additional comment about surgery scheduling

 

How well do you agree with the following statements? (If any item does not apply, leave blank)
The amount of time that I had to wait to get a consultation with Dr. Rodriguez was reasonable

I was satisfied with the information and surgical description provided by Dr. Rodriguez

The office staff was attentive to my needs

The OR staff was attentive to my needs

The written materials that I received prior to surgery satisfied my needs.

I was satisfied with the way I was prepared for surgery

I was satisfied with the care that I received the morning of surgery

I was satisfied with my follow-up care

The fees for surgery were reasonable

Additional Comments

After losing over 100 pounds I had done all I could do on my own to get the body I wanted. The one thing I couldn’t do with diet & exercise was to get breasts. Dr Rodriguez helped me to finally get the body I have always wanted!

Thank you for taking the time to complete this questionare
May we share your confidential comments with prospective patients

Would you like someone to call you regarding any of your responses

Name

Chrystal 

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