Stafford R. Broumand, MD | Daniel Y. Maman, MD

740 Park Avenue, New York, New York | 800.822.6058

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The art of plastic surgery

Patient Survey

Dr. Broumand, Dr. Maman and 740 Aesthetics strive to offer the utmost in patient services. We would like to know how you feel about the services we provide. This helps us to make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses are kept confidential and anonymous.

Survey Key:

1
Fell far short of my expectations

2
Partially met my expectations

3
Met my expectations

4
Exceeded my expectations

5
Greatly exceeded my expectations

  1. (valid email required)
  2. When you called for an appointment, were you satisfied with the response from the person who answered the telephone?
  3. When you arrived at the office, did you find the receptionist to be:
  4. Friendly and courteous?
  5. Helpful?
  6. How acceptable was the amount of time spent in the reception area and examining room, before seeing the Provider?
  7. When you were called to the examining room, did you find our medical assistant to be:
  8. Friendly and courteous?
  9. Competent and professional?
  10. Sympathetic and caring?
  11. During your examination, did you find the Provider to be:
  12. Friendly and courteous?
  13. Competent and professional?
  14. Sympathetic and caring?
  15. Did the Provider spend an appropriate amount of time with you, answer your questions, and explain medical procedures and treatments to your satisfaction?
  16. How satisfied were you with the Provider’s diagnosis and treatment recommendations?
  17. If a procedure was recommended, did the Provider discuss with you, in detail, information regarding the need for the recommended procedure(s) to your satisfaction?
  18. If you had a procedure, were you satisfied with your results?
  19. When asking billing/insurance questions, did you find our billing/insurance staff to be:
  20. Friendly and courteous?
  21. Helpful?
  22. Rate your overall experience with the practice:
  23. Did you like the availability of cosmetic products in our office?
  24. Would you take advantage of expanded cosmetic services?
  25. Would you recommend our practice to your friends?
  26. Captcha
 

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