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10220 NE Points Drive, Suite #110 | Kirkland WA 98033

(425) 247-1895

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Patient Satisfaction Survey

Thank you for visiting Partington Plastic Surgical Center. To help us maintain a high quality of service and care for our patients, please provide us with feedback by filling in the information below.

Date of Visit*
Date Format: MM slash DD slash YYYY
Was this your first visit to Partington Plastic Surgery Center?*
- Yes
- No
Please tell us how well we are doing in the following areas:
Ability to Get Appointment*
- Great
- Good
- Ok
- Fair
- Poor
Office Hours*
- Great
- Good
- Ok
- Fair
- Poor
Location Convenience*
- Great
- Good
- Ok
- Fair
- Poor
Time Waiting for Provider*
- Great
- Good
- Ok
- Fair
- Poor
Time Waiting in Treatment/Procedure Room*
- Great
- Good
- Ok
- Fair
- Poor
Provider: (Physician, Medical Assistant, Nurse, Aesthetician, Front Desk/Reception Staff Members)
Ease of Check-in*
- Great
- Good
- Ok
- Fair
- Poor
Ease of Check-out*
- Great
- Good
- Ok
- Fair
- Poor
Friendly and Helpful*
- Great
- Good
- Ok
- Fair
- Poor
Listens to You*
- Great
- Good
- Ok
- Fair
- Poor
Spends Enough Time With You*
- Great
- Good
- Ok
- Fair
- Poor
Answers All Of Your Questions*
- Great
- Good
- Ok
- Fair
- Poor
Explains Procedures and Options*
- Great
- Good
- Ok
- Fair
- Poor
Give You Good Advice And Treatment*
- Great
- Good
- Ok
- Fair
- Poor
Friendly And Helpful to You*
- Great
- Good
- Ok
- Fair
- Poor
Answers Your Questions*
- Great
- Good
- Ok
- Fair
- Poor
Makes You Feel Comfortable*
- Great
- Good
- Ok
- Fair
- Poor
Value of Service*
- Great
- Good
- Ok
- Fair
- Poor
Explanation of Charges*
- Great
- Good
- Ok
- Fair
- Poor
Payment Processing*
- Great
- Good
- Ok
- Fair
- Poor
Payment
How Satisfied Are You With The Results Of Your Treatment/Procedure?*
- Very Satisfied
- Dissatisfied
- Neutral
- Dissatisfied
- Very Dissatisfied
How Would You Compare Your Desired Results To Your Final Results?*
- Very Satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very Dissatisfied
How Likely Are You To Return To Partington Plastic Surgery Center For A Future Procedure/Treatment?*
- Very Satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very Dissatisfied
How Likely Are You To Recommend Partington Plastic Surgery To A Friend, Family Member Or Co-Worker?*
- Very Satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very Dissatisfied
What Do You Like Best About Partington Plastic Surgery Center?
How Can We Improve At Partington Plastic Surgery Center?
If You Have Any Specific Comments Or Suggestions, Please Describe Them Here.
Would You Like To Be Contacted By The Practice Manager To Discuss Your Review?
- Yes
- No
- Not Applicable
If you would like to write a testimonial, please do so here (your name will not be publicized):
I authorize my review to be published*
- Yes
- No
We take your feedback of our practice very seriously. To ensure this review is submitted by an actual patient, we require your identifying information.

Please be assured that your personal information will never be shared or publicized with anyone on our staff or anywhere in print or publication unless specifically approved by you.

Thank you for taking the time to provide us with quality feedback. If you requested us to contact you please allow us 3 business days.
Name*
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Email*

Partington Plastic Surgery & Laser Center

10220 NE Points Drive, Suite 110 Kirkland, WA 98033

Phone: 425-247-1895

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