Dr. Motykie Plastic Surgery - Post Procedure Survey
RequiredRequired Question(s)
Now that it has been a while since your surgery and you've had time to heal, we would love to know more about how we did and what suggestions you may have that could help us improve.  

Our mission is to provide the highest level of quality patient care in a comfortable, private facility.  Since we make every effort to attain these high standards, we would like to ask you to complete this survey.  Please be very candid as we use your comments to guide us in improving our services.

Thank you in advance for your time and suggestions.  
 
Required 1.
How did you hear about Dr. Gary Motykie Plastic Surgery? (you may select more than one)
Another Patient (Please Specify Below)
Was a Previous Patient
A Friend/Word of Mouth
Dr. Motykie's Website
Google Search
Another Internet Source (Please Specify Below)
RealSelf.com
Yelp!
Social Media (Please Specify Below)
Event
Television
Magazine
Other  
  • Comment:

  • 500 characters left.
Required 2.
Are you satisfied with our team and overall experience?
 Excellent Good Average Fair Poor 
Dr. Motykie (Surgery, Consultation, Exam, Post-Surgery Care)
Consultation (Exam, Sizing, Pre-Surgery Education)
Pre-Surgery Care (Pre Op Appointment, Patient Education, Surgery Preparation)
Anesthesiologist - (Pre-Surgery Interview, Recovery Care)
Day of Surgery and Recovery Care (Check In, Recovery Nurse)
Post Operative Care (Post Op Appointment, Suture Removal, Dressing Changes)
Financial (Quote Presentation, Financial Arrangements, Fees Processing)
Front Office (Reception, Phone Calls, Scheduling, Confirmation Calls, Check In, Check Out)
Marketing (Emails, Website, Social Media, Office Materials)
  • Comment:

  • 500 characters left.
Required 3.
How was the overall consultation process? (you may select more than one)
I felt very comfortable with Dr. Motykie, the staff and the practice
All of my questions were answered
Everyone spent more than enough time with me
The environment was comfortable and private
Overall the consultation was educational and helpful
The brochures, emails and letters were very helpful and informative
I was made to feel uncomfortable (please describe below)
My questions were NOT fully answered (please describe below)
I was rushed through the consultation appointment (please describe below)
The brochures, emails and letters could be improved (please describe below)
Other  
  • Comment:

  • 500 characters left.
Required 4.
Did you consider another plastic surgeon for your surgery? (you may select more than one)
No (please describe why below)
Yes (please describe why you decided on Dr. Motykie instead of another doctor)
Other  
  • Comment:

  • 500 characters left.
Required 5.
During your consult the staff was:
 Excellent Good Average Fair Poor 
Informative
Caring
Professional
  • Comment:

  • 500 characters left.
Required 6.

On the day of surgery the operative team was:

 Excellent Good Average Fair Poor 
Informative
Caring
Professional
  • Comment:

  • 500 characters left.
Required 7.

Once surgery was scheduled:

 Excellent Good Average Fair Poor 
The amount of contact initiated by the medical team met your pre-surgical needs
The medical team was easily accessible for questions and concerns
The pre-surgical package and post-surgical instructions were helpful and easy to understand
  • Comment:

  • 500 characters left.
Required 8.
On the day of surgery Dr. Motykie was:



 Excellent Good Average Fair Poor 
Knowledgeable
Caring
Thorough
Professional
Patient
  • Comment:

  • 500 characters left.
Required 9.
After surgery was completed:
 Excellent Good Average Fair Poor 
The post-surgical nurse took care of me in recovery
The surgical staff was helpful to my caregiver
Dr. Motykie's post-surgical contact was sufficient
The amount of contact initiated by the nurses met your post-surgical needs
The post-surgical appointments met my needs
The nursing staff was easily accessible for questions and concerns
  • Comment:

  • 500 characters left.
Required 10.

How do you feel about your surgical results?

Excellent Good Average Fair Poor       
      
  • Comment:

  • 500 characters left.
Required 11.

Please select the options that best describe your overall surgical experience. (you may select more than one)

My overall experience was excellent
I would return again if I decided to have more surgery
I highly recommend your office to friends and relatives
I have no suggestions for improvement at this time
I may not return for further surgery (please describe below)
I will not recommend your office (please describe below)
I have a suggestion(s) for improvement (please describe below)
Other  
  • Comment:

  • 500 characters left.
12.

Is there anything else that you would like to tell us?

 

1000 characters left.
13.

We would love to contact you about your answers and suggestions.  Please enter your information below. (adding this information is optional)




By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Cell Phone Number:

14.

I would like to remain anonymous, but consent to further email communication. 

Yes (Add Email Address Below)
No
  • Comment:

  • 500 characters left.
For more information, visit our website at  www.DrMotykie.com or call 
310-246-2355.