We Value Your Opinion!
Date of your consult:

Month

Day
Year

What was it that made you come to our office? 

 

How was our telephone etiquette?
Were you greeted in a friendly, timely, and professional manner in our office? Yes No
Did Dr. Lerman spend enough time with you? Yes No No Opinion
If not, what time frame would be more appropriate and what needed to be covered that was not?
Did he answer all your questions? Yes No No Opinion
Did you obtain enough information to make an informed decision? Yes No No Opinion
Did you obtain enough information regarding pre-operative instructions and post-operative care that you felt educated as to what to expect? (given at pre-operative visit) Yes No No Opinion
If you have viewed our web site, can you tell me what you think of the information presented and are there any ways to improve it?
If you have had a consult with another physician, how would you compare that consult to ours?  If something in particular was better than ours, could you please specify?
If you have chosen to go to another plastic surgeon, could you tell us why?
If you have chosen to stay with Dr. Lerman, could you tell us why?
How was your surgical experience?
Did your office adequately follow you during the post-operative period? Yes No No Opinion
Regarding our receptionist - did you find her professional and helpful? Yes No No Opinion
Regarding our sugical nurse, did you find her professional and helpful? Yes No No Opinion
How could we have made your experience better?
 
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