Lip lift review by Kristin

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?Lip lift
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?

The doctor agreed to give me the results I was looking for - he was confident he could do it. 

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

I saw pictures of his work, videos of his explanations, and felt he was an expert at this procedure si I'd be in good hands. 

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

the pain was a bit more than expected. (after) (The nurse with him was not kind) 

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?



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

Additional comment about telephone handling

Everyone was great except the nurse - w/the doctor. She was rude, short with me, not smiling, just mean. 

Were you satisfied with the way your surgery was scheduled?

Additional comment about surgery scheduling

He's a sweetheart & gave good guidance. 

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

Love Dr. Rodriguez & he is excellent at the lip lift – dreams come true.

Thank you for taking the time to complete this questionare
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