Aesthetic Surgery Center service quality survey

We would be very grateful if you take a few minutes and honestly fill out this form. This will help us to improve even more and make our patients come and leave us with a smile.

Anketos rezultatai yra viešai prieinami

1. What are the reasons for using the services of plastic surgery? (Multiple answers possible)

2. How many times have you used the services of our clinic? (Please select one answer that suits you best)

3. How did you hear about our clinic services?

4. What led you to choose the services of our clinic?

5. Do you agree with the following statements? (Please select one answer for each statement)

Yes
No
Consultations take place on scheduled time
Specialist devotes sufficient amount of time and attention
Specialist takes into account my opinion
I have the opportunity to contact the specialist at any time
The staff is helpful
The staff is qualified and competent
Visits, operations and/or procedures have been assigned at a convenient time
The prices of the services are presented in a clear and understandable way
I would recommend the clinic to other people

6. What kind of services in our clinic you are missing? What could be improved?

7. Do you agree with the following statements? (If you did not have any surgery in our clinic, please skip question No 7 and go to question No 8)

Yes
No
The clinic assured my privacy
Clinic environment is clean and tidy
Nurse on duty was helpful
The quality of catering service was good
Doctor's recommendations after the surgery were clearly explained
I followed doctor's recommendations during the postoperative period
The postoperative period went smoothly
I am satisfied with the results of the operation
The operation was too expensive considering the quality and the volume of the services provided
There was not enough of medical attention from my surgeon upon my release home
After the surgery, I got medicine to take home

8. What of the following special offers you would find attractive? (Please select not more than 4 options that suit you best)

What is your gender?

What is your age?

What is your country of residence?

What is your city of residence?

What specialist consulted you or performed your surgery/procedure? ✪

Please enter the name and surname
Šio klausimo atsakymai viešai nerodomi

Are you willing to receive information about our discounts and special offers? ✪

If marked "Yes", please leave us your phone number and email address. This information will not be associated with the data of this questionaire filled, will not be shown publicly to any third parties and used exclusively for marketing purposes.
Šio klausimo atsakymai viešai nerodomi

Patient card No ✪

To be filled by our clinic staff
Šio klausimo atsakymai viešai nerodomi