Gilmer Plastic Surgery Patient Satisfaction Survey

Please take a few moments to tell us about your most recent visit to our office: *

	Great	Good	OK	Fair	Poor
Ease of scheduling appointment	Great	Good	OK	Fair	Poor
Time it took to answer your phone call	Great	Good	OK	Fair	Poor
The manners of the person who scheduled your appointment	Great	Good	OK	Fair	Poor
The convenience of our location	Great	Good	OK	Fair	Poor
Parking convenience	Great	Good	OK	Fair	Poor
Politeness of receptionist	Great	Good	OK	Fair	Poor
Wait time in our office	Great	Good	OK	Fair	Poor
Comfort, cleanliness of the office and reception area	Great	Good	OK	Fair	Poor
Professionalism and manners of the nurse or assistant	Great	Good	OK	Fair	Poor

Please give us your feedback on Dr. Gilmer specifically: *

	Great	Good	OK	Fair	Poor
Amount of time you spent with the physician	Great	Good	OK	Fair	Poor
Listening skills of the physician	Great	Good	OK	Fair	Poor
His explanation of the procedure	Great	Good	OK	Fair	Poor
His bedside manner	Great	Good	OK	Fair	Poor
Knowledge and understanding	Great	Good	OK	Fair	Poor

Overall, how would you rate your experience with Gilmer Plastic Surgery? *

If you have comments you would like to make, feel free to do so below.

May we share your comments on our web site (without your name of course)?

Would you like to be contacted by our office regarding this survey? *