Welcome to Sutton Ryan Dermatology and Sutton Ryan Aesthetic Center

Survey

Sutton Ryan Aesthetic Center Patient Satisfaction Survey
Age
Sex
Zip Code
1. Is this your first visit to Sutton Ryan Aesthetic Center?
 
2. Did you have a consultation prior to your procedure?
 
3. Would you recommend our clinic to others?
 
4. Which provider did you see at your last appointment?
  Margaret Sutton, MD
Robyn Ryan, MD
Rebecca Reinke, PA-C
Jackie Kment, PA-C
Michelle Stizman, PA-C
Michelle Fink, MA
Michele Harms, MA
JoAnna Fenicle, RN
Other
5. What procedure/ treatment did you see us for at your last appointment?
 

Please check how well you think we are doing in the following areas.

6. Ease of scheduling an appointment
  Excellent
Good
Fair
Poor
N/A
7. Length of time waiting to see provider
  Excellent
Good
Fair
Poor
N/A
8. How well did the provider answer all your questions
  Excellent
Good
Fair
Poor
N/A
9. How well did the provider explain the procedure to you
  Excellent
Good
Fair
Poor
N/A
10. Knowledge/professionalism of other staff members
  Excellent
Good
Fair
Poor
N/A
11. How would you rate the appearance and atmosphere of our facility
  Excellent
Good
Fair
Poor
N/A
12. What did you like best about our clinic?
 
13. Other suggesstions/comments:
 
14. What new procedure would you be interested in seeing Sutton Ryan Aesthetic Center providing?
 
15. What procedures would you be interested in learning more about? (Check all that apply)
  FRAXEL® Laser Treatments
Filling Materials
Smartlipo™
BOTOX®
Laser Hair Reduction
Microdermabrasion
Chemical Peels
IPL Skin Rejuvenation
Laser Skin Tightening
Laser Leg and Facial Vein Treatments
Professional Grade Skin Care Products
Financing Options
16. How would you like us to contact you?
  Phone
Email
Mail
17. How did you hear about us?
  Current Patient
Friends/Family Member
Print Publications (Journal Star, L Magazine, other)
Email Blast
Web Site (suttonryan.com)
Web Site Other- (i.e. kolnkgin.com, klkntv.com, neweddingday.com)
Television
Household Mailer
Other

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Date
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Thank you for your time! If you provided your contact information you will be automatically entered to win a monthly drawing of a $25 gift card to Sutton Ryan Aesthetic Center!
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