We want to give you the best possible care! To do that, we need your feedback. Please let us know how we are doing by taking a moment and filling out the following patient survey form. Thank you! Do you feel the staff was easily accessible if you had a question or concern? Yes No Did your pre and post-operative care meet your needs? Yes No If no, please explain below: How do you feel about your surgical results? If pain was an issue, was it addressed and controlled? Yes No Your overall experience: Excellent Best Average Poor Did the treatment and services we provided meet your needs and expectations? Yes No If no, what could we have done differently? If you were to have surgery again, would you return to our office? Yes No Would you refer your family and/or friends to Dr. Melinda Lacerna, MD, FACS? Yes No Do you have any suggestions or comments on how we could improve safety and comfort? Please list any general comments, suggestions, or employees who provided exceptional service: Email Address: *
