Breast lift with implants review by Anonymous

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 lift with implants
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 is very personable. He made me very comfortable and I could tell he had my best interest. 

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

Wanted to find a good, local doctor. 

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

The staff was excellent at notifying me about my appointments, medications, etc. I can't think of anything else different that they could have done. 

How was your experience with the anestheologist?

He was very nice. He calmed me down before my surgery. 

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:


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

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