Patient SurveyPlease select the location of your most recent visit to our practice: Jupiter Wellington West Palm BeachPlease select the provider you would like for surgery: Alan Pillersdorf, M.D. Alberto Navarro, M.D. Dov Eidelman, M.D. Ernesto Hayn, M.DWhat was the purpose of your visit? Consultation Office Visit Follow Up Procedure / SurgeryWhen you called for an appointment, how would you rate the response from the person who answered the telephone? Very Good Good Average Fair PoorWhen you arrived at the office, was the receptionist ?Helpful Very Good Good Average Fair PoorFriendly Very Good Good Average Fair PoorHow acceptable was the amount of time spent in the reception area and exam room, before seeing the doctor? Very Good Good Average Fair PoorWhen you were called to the treatment room, how would you rate our staff in terms of being?Friendly Very Good Good Average Fair PoorCompetent and Professional Very Good Good Average Fair PoorSympathetic and Caring Very Good Good Average Fair PoorDuring your examination, how would you rate the doctor in terms of being?Friendly Very Good Good Average Fair PoorCompetent and Professional Very Good Good Average Fair PoorSympathetic and Caring Very Good Good Average Fair PoorPlease rate your satisfaction with the amount of time the doctor spent with you answering your questions, and explaining medical procedures and treatments. Very Good Good Average Fair Poor Not ApplicableIf you scheduled a procedure, please rate your satisfaction with the scheduling process. Very Good Good Average Fair Poor Not ApplicableIf a procedure was recommended, please rate your satisfaction with the manner in which the doctor discussed details and information regarding the need for the recommended procedure(s). Very Good Good Average Fair Poor Not ApplicableIf you had a procedure, please rate your satisfaction with your results. Very Good Good Average Fair Poor Not ApplicableWhen discussing fees for your visit or procedure, how would you rate our staff in terms of being ?Friendly Very Good Good Average Fair PoorHelpful Very Good Good Average Fair PoorDid you find that visiting our office was a positive experience? A very positive experience A somewhat positive experience Neutral A somewhat negative experience A very negative experienceIf you had a less than positive experience, please explain further.Did you like the availability of cosmetic products in our office? Yes No Not AvailableAre you interested in any additional cosmetic services? Yes No MaybeServices of interest:Would you recommend our practice to your friends? Yes No MaybeThank you for sharing your experience with us. Please add any additional comments below. Your input helps us improve our service.
