One-On-One Consultation with Dr. Lodi Follow-Up Questionnaire

Name

Email Address

Overall, how was your consultation with Dr. Lodi? Overall, how was your consultation with Dr. Lodi? Not Good Good Great Exceptional

Was the experience and information what you had expected from a consultation? Was the experience and information what you had expected from a consultation? No Sort Of Yes More Than I expected

Please let us know if there was any way that we might have been able to improve your consultation experience.

Were all of your questions and concerns addressed? Were all of your questions and concerns addressed? No Sort Of Yes More Than I expected

Will you seek follow-up advice from Dr. Lodi? Will you seek follow-up advice from Dr. Lodi? Yes No

Honest reviews help others make informed decisions. Would you mind sharing your testimonial about your consultation? Honest reviews help others make informed decisions. Would you mind sharing your testimonial about your consultation? Yes No

Please write your testimonial here

Do we have your permission to publish your review online? We only include your first name and last initial. Do we have your permission to publish your review online? We only include your first name and last initial. Yes No