Survey

Name
Before Your Surgery

1. Before your surgery, did anyone in this surgeon’s office give you easy to understand instructions about getting ready for your surgery? *

2. During your office visits before your surgery, did anyone in this surgeon’s office use pictures, drawings, models, or videos to help explain things to you? *

3. Did these pictures, drawings, models, or videos help you better understand your condition and its treatment? *

Your Surgery

4. Were you given something so you would not feel pain during your surgery? *

5. Did this surgery make you feel healthier in oral conditions? *

After Your Surgery

6. Did anyone in this surgeon’s office explain what to expect during your recovery period? *

7. Were you given something so you would not feel pain after your surgery? *

Your Overall Care From This Surgeon

8. Using any number from 0 to 10, where 0 is the worst surgeon possible and 10 is the best surgeon possible, what number would you use to rate this surgeon? *

9. Social Media/ Photo Consent Form
Dr. Daniel Kao would like your permission to use this survey and images taken of you to showcase extraordinary before and after surgery on the website, Facebook pages and other social media. *