Dr. Mark Barlow MD, Plastic Surgeon in Houston, Clear Lake, Texas

450 Medical Center Blvd., Suite 207, Webster, Texas 77598

(281) 333-8999

We want to know how we can do better. We value all honest feedback.

How did you find us?

What search keywords did you use to find our web site if you used a search engine?

Have you visited our web site before?

Yes

Several times

How did Dr. Barlow meet your expectations?

He exceeded them by a wide margin

He exceeded them

About what I expected

He did not meet my expectations

Extremely poorly compared to my expectations

Do you have any additional comments or ideas for improvement?

How did our staff meet your expectations?

They exceeded them by a wide margin

They exceeded them

About what I expected

They did not meet my expectations

Extremely poorly compared to my expectations

Do you have any additional comments or ideas for improvement?

Did we try our best to make your feel like you were our only patient?

Yes

Please let us know if we could have done anything better in this area.

Did you have to wait in the waiting room past your appointment time?

I was actually seen before my scheduled appointment time

I was seen on time

I waited 5 to 15 minutes

I waited 15 to 25 minutes

I waited 25 to 35 minutes

I waited 35 to 45 minutes

I waited 45 minutes to an hour

I waited more than an hour

Did our staff explain the steps of your procedure to your satisfaction?

They did an incredible job and even touched on things I had not even thought of

They exceeded my expectations in explaining the steps involved

They explained the steps satisfactorily

They did not cover all the steps satisfactorily

Their explanations were very poor and confusing

Anything we missed or that could have been explained better?

Did anything unexpected happen during your procedure or your appointments?

No, I was ready for everything that happened

Yes, something minor happened that I did not expect

Yes, but it was probably something that had been explained that I had forgotten

Yes, several things happened I did not expect at all

So many things that I feel I was not prepared well for the procedure

If you had something unexpected happen, could we have prepared you better?

Did our staff give you Dr. Barlow's personal cell phone number?

No, the only contact number I was given is the main office number

Yes, they gave me Dr. Barlow's phone number to enter in my cell phone

Yes, and they even entered Dr. Barlow's phone number in my cell phone for me

What did you think of our office décor?

How do you think we can improve?

As a special thanks for completing our survey, please enter your name an contact information and you will be eligible for a $50 discount on any products or services that we offer for which you are medically qualified. Note that if you enter your name and contact information it will only be shared with the Practice Manager, not any other member of the staff and will be kept confidential, because we value honest feedback and welcome any opportunity to serve you better.

First and last name
Telephone	- -
Email address

This offer is void where prohibited and has no cash value. Dr. Barlow must personally determine that you are medically qualified to be able to receive the products or services to which you wish to apply the discount offered. Only one discount is applicable to a product or service and only one survey per person, please. We reserve the right to deny this discount for surveys whose contents are deemed frivolous or not serious.

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