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| Additional Information (Tell us all about your experience) | |
| *Have you had surgery? | |
| If so, who was your surgeon? | |
| Where did you have your surgery? | |
| What procedure did you have? | |
Who was helpful and who |
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| What price did you pay? | |
| What did that price include? | |
| Who was your patient coordinator? | |
| Did you feel you got what you paid for? | |
| Do you feel that you were just a number? | |
Did you have to pay extra to |
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Is your patient coordinator just as caring |
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| Are you still pre-op looking to have surgery? | |
If so, would you like to receive |
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| Anything else you would like to share? | |
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