Patient Satisfaction Survey

Which Plastic Surgeon / Doctor performed your procedure? *

Which Nursing led service did you receive?

How did you hear about Adelaide Plastic Surgery? *

If choosing OTHER or SOCIAL MEDIA please specify *

Rate your experience in making an appointment with Adelaide Plastic Surgery *

I would rate the greeting and the general attitude of the front desk staff at Adelaide Plastic Surgery as *

Rate the waiting area and overall appearance of Adelaide Plastic Surgery *

If you had a consultation with one of our Surgeons or Nurses, how come you chose NOT to have surgery with us? *

My surgeon/doctor gave me sufficient information regarding my procedure. *

My surgeon/doctor fully explained my options and the risks associated with my procedure. *

I would rate the greeting and the general attitude of the doctor’s personal assistant as: *

The personal assistant fully informed of my financial obligations. *

Was the written quote you received clear about the costs involved and the next steps? *

The personal assistant fully explained the location and the time of the procedure to me. *

Rate the information provided to you—verbal and written—to assist you in preparing and recovering from your procedure. *

If you had a treatment in our procedure rooms on Level 4, how did you find the admission process? *

I would rate the greeting and the general attitude of the nurses as: *

I was given a pamphlet with information about post operative care. *

Did the treatment and services provided to you meet your needs and expectations?

I received adequate information regarding post operative care/wound care. *

Any other comments regarding staff at Adelaide Day Surgery (Level 1) or any other private hospitals your had your procedure performed?

Would you recommend Adelaide Plastic Surgery to someone else (please be honest)?

Can you please explain why/why not?

Which of the following services that Adelaide Plastic Surgery provides are you aware of? *

If other, please specify: *

Do you have any other comments or suggestions? *

Name *

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