Survey * All questions must be answered (yes/no). do or do not , there is no try check that box When you contacted our office by phone was our staff courteous and helpful? Yes No During your visit to our office was the staff courteous and helpful? Yes No Was the appearance of our staff and reception area acceptable? Yes No Was the waiting room clean and comfortable? Yes No Did your appointment run on time? Yes No During your consultation with Dr. Neal Goldberg were all your questions answered? Yes No Did the treatment and services we provided meet your needs and expectations? Yes No Would you refer your family and friends to Dr. Neal Goldberg? Yes No Comments Would you like to be contacted to discuss your experience at our office? Yes No * Selected Yes? Don't forget to fill out the Name & Phone fieldsWould you like to be placed on our email list to receive updates and special offers for cosmetic procedures? Yes No * Selected Yes? Don't forget to fill out the Name & Email fieldsName Email Phone CM Signup
