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Medical Hair Restoration survey
Medical Hair Restoration is always striving to meet our patients' expectations. We would like to know what you love about us and how we can improve.
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* Indicates required question
Email
*
Your email
Name
Your answer
Surname
Your answer
Phone (international format)
Your answer
Which doctor did you consult with?
*
Dr. Larry Gavin Gershowitz
Dr. Ryan Jankelowitz
Dr. Chrisna Keyser
How was your overall experience at Medical Hair Restoration?
*
Poor
1
2
3
4
5
Excellent
How did you find the process with booking a consultation to your surgery?
*
Difficult
1
2
3
4
5
Easy
How did you find our response time to your queries via email and/or phone?
*
Poor
1
2
3
4
5
Excellent
How would you rate the doctor who you consulted with? (knowledge? comfort level? etc)
*
Poor
1
2
3
4
5
Excellent
How would you rate our facilities? (clean? organised? well maintained?)
*
Poor
1
2
3
4
5
Excellent
What is your impression on the success of your treatment/surgery?
*
Poor
1
2
3
4
5
Excellent
Summary of your experience with us?
*
Your answer
Any other comments/complainants/suggestions?
Your answer
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