Consultation Survey

  1. How did you find out about Dr. Mills? (check all that apply)
  4. Did you visit other doctors for consultations before seeing Dr. Mills?
  6. What factors affected your decision to consult with Dr. Mills? (check all that apply)
  9. How would you rate the service and attention of our front office staff?
  12. How would you characterize your consultation with Dr. Mills (check all that apply)
  16. Do you feel you were quoted a reasonable price?
  18. Would you recommend Dr. Mills to friends and family who are considering plastic surgery?
  23. Which of the following expresses your sentiments about today’s experience with Dr. Mills’ office?
  28. Captcha
 

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Thank you for taking the time to respond. Your survey will go into a monthly drawing for skin care services.