Patient Survey Thank you for allowing our provider to provide help with your dermatology needs. Please take a few minutes to fill out this online survey to help us provide better care to you and your family in the future. Were you able to schedule your last appointment in a timely manner? YesNo If you are a new patient, how did you hear about our practice? ---Doctor ReferralFamily/FriendWebsiteFacebookOther How much time did you spend in the waiting room? 0-15 minutes15-30 minutesOver 30 minutes Was the staff pleasant (both administrative and clinical)? Yes or No. If no, please explain YesNo Our providers hope you have had a pleasant experience and are always looking for ways to make a patient’s visit pleasant. What can your provider do to make things better during your visit? If any suggestions, please list: Thank you for taking time to fill out our survey. We value your opinion and recommendations! Please take some time to write a review on Facebook and/or Google!