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Customer Satisfaction Survey

If you or a family member recently received services at Miami Center for Dermatology, we would appreciate feedback regarding the care you experienced.
Feedback from our patients will help us learn how we are meeting your expectations and what we can do to better meet the needs of our patient community.

Please answer the following questions and hit the submit button when you have completed the survey. If you would like to receive a reply, please include contact information.

    Who received services at Miami Center for Dermatology?: *
    MeLoved one

    If you had important questions regarding your condition or treatment, were you able to find someone to answer your questions?: *
    Yes, alwaysYes, sometimesNo

    Were the answers that staff provided to your questions presented in a way that you could understand?: *
    Yes, alwaysYes, sometimesNoI didn’t have any questions

    How would you rate the skills of our staff in meeting or exceeding your expectations?: *
    ExcellentVery GoodGoodFairPoor

    How satisfied were you with the courtesy of the staff that treated you/your loved one?: *
    Very satisfiedSomewhat satisfiedSomewhat dissatisfiedVery dissatisfied

    How would you rate the availability of Miami Center for Dermatology?: *
    ExcellentVery GoodGoodFairPoor

    Did you/your loved one feel that you were treated with respect and dignity?: *
    Yes, alwaysYes, sometimesNo

    How would you rate how well the staff worked together?: *
    ExcellentVery GoodGoodFairPoor

    Overall, how satisfied were you with the treatment and care you/your loved one received at Miami Center for Dermatology?: *
    Very satisfiedSomewhat satisfiedSomewhat dissatisfiedVery dissatisfied

    Overall, how satisfied were you with your provider?: *
    Very satisfiedSomewhat satisfiedSomewhat dissatisfiedVery dissatisfied

    Would you recommend Miami Center for Dermatology to your family or friends?: *
    Yes definitelyYes, probablyNo

    If no, why not?:

    Do you have further comments or impressions that you would like to share?:

    Follow-Up Information
    If you would like a phone call or an email to discuss our care more thoroughly, or would like a Miami Center for Dermatology representative to follow up with you, please include your name and contact information below.

    Name:

    Daytime Phone Number:

    E-Mail: