Patient Survey How satisfied are you with our services? Survey Results I consulted with Dr. Capella for the following procedure(s): I was satisfied with the service I received when I originally called to schedule my consultation? I was satisfied with the service I received when I originally called to schedule my consultation? Strongly Agree Agree Neutral Disagree Strongly Disagree The Practice Coordinator was friendly and helpful when I arrived at the office? The Practice Coordinator was friendly and helpful when I arrived at the office? Strongly Agree Agree Neutral Disagree Strongly Disagree The appearance of the office was pleasing and comfortable? The appearance of the office was pleasing and comfortable? Strongly Agree Agree Neutral Disagree Strongly Disagree Dr. Capella made me feel comfortable and at ease? Dr. Capella made me feel comfortable and at ease? Strongly Agree Agree Neutral Disagree Strongly Disagree Dr. Capella was responsive and open to my questions? Dr. Capella was responsive and open to my questions? Strongly Agree Agree Neutral Disagree Strongly Disagree Dr. Capella was clear in his explanation of the surgery, risks, and complications? Dr. Capella was clear in his explanation of the surgery, risks, and complications? Strongly Agree Agree Neutral Disagree Strongly Disagree I would recommend Dr. Capella to my friends and family? I would recommend Dr. Capella to my friends and family? Strongly Agree Agree Neutral Disagree Strongly Disagree I was satisfied with the service and attention from Surgical Coordinator? I was satisfied with the service and attention from Surgical Coordinator? Strongly Agree Agree Neutral Disagree Strongly Disagree The materials I received from the Surgical Coordinator were professional and provided enough information for me to make a decision about surgery? The materials I received from the Surgical Coordinator were professional and provided enough information for me to make a decision about surgery? Strongly Agree Agree Neutral Disagree Strongly Disagree Fees are a major consideration in choosing a plastic surgeon? Fees are a major consideration in choosing a plastic surgeon? Strongly Agree Agree Neutral Disagree Strongly Disagree Could we have made your consultation a more comfortable, productive experience? Could we have made your consultation a more comfortable, productive experience? Strongly Agree Agree Neutral Disagree Strongly Disagree Email Address Additional Comments 8 + 3 = Submit