Rate Your Appointment with Dr. Park's Office

We invite patients to rate their appointment at Dr. Park's office. From the very beginning of your experience with us, communicating with reception and scheduling, and proceeding to your appointment with Dr. Park, we make your dermatology needs our priority. Let us know how we are doing. We welcome your testimonial.

Name:

Phone Number:

Email Address:

Date of Your Appointment:

Were you satisfied with our Reception and Scheduling Services?:
Very Satisfied
Satisfied
Not Satisfied
Very Dissatisfied

Were you satisfied with your Appointment Time?:
Very Satisfied
Satisfied
Not Satisfied
Very Dissatisfied

Please Rate Your Overall Experience with Dr. Park:
Very Satisfied
Satisfied
Not Satisfied
Very Dissatisfied

Would You Consider Dr. Park Again in the Future?:
Absolutely
Maybe
Probably Not
Definitely Not

Comments About Your Appointment and Experience:

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