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Post Consultation Survey

Considering plastic surgery? Schedule your consultation with the form below. Prefer a virtual consultation? Click here to get started.

We thank you for choosing The Godek Center. Providing us with feedback about your recent consultation helps us improve every patient’s overall experience. We appreciate any comments you have regarding your consultation.

Christopher P. Godek, MD

Please click on the option that most reflects your satisfaction with staff interaction during your consultation:

When your consultation was over did you have a good understanding of your surgical plan?
Time spent with my nurse:
Time spent with Dr. Godek:
Do you have any suggestions to improve the consultation experience?
If you decided not to have surgery at this time, please indicate the most important factors in that decision:
Are there any other services that we can provide additional information?
Would you refer your friends and family to us?
How would you rate your overall experience at our practice?

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