Fat transfer review by Bethany

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?Fat transfer
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?

Honesty on types of procedures - what would work or not work. 

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

Prior history 

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

Not sure but I wasn't as 'emotionally' prepared for swelling in face. 

How was your experience with the anestheologist?


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?


office decor 

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

Additional comment about telephone handling

Emails/texts are always good. 

Were you satisfied with the way your surgery was scheduled?

Additional comment about surgery scheduling

Had to be rescheduled, but I'm easy going. 

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

The information provided was adequate, I didn’t anticipate the amount of swelling & for how long and was scared it was ‘overfilled’. Not sure if there is a need to provide more (set expectations). it may look overfilled but have to give it 4-6 weeks as an example. Thank you all! I had a 2 wk follow-up as I was nervous about things, so thank you all for support. Love the procedure!

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

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