Feedback

At the URO Center, your health and patient experience is our number one priority. Your thoughts help us serve you better, and we would like to enter you into our drawing for a $250 Gift Certificate for helping us out. All you have to do is take this quick survey!

01. Are you...?

Male Female

02. What are the reasons you choose the URO Center to have your procedure done?

03. How did you originally hear about us?

Google Search
Friend
Facebook/Twitter
Review Website: i.e. RateMDs; Vitals.com; Yelp, etc.
Location/Neighborhood
Other

04. Did we promptly greet you with a warm welcome?

Yes No

05. Please select the name of your specialist,

Dr. Purohit Dr. Blaivas

06. Please rate our facility on the following criteria:

	Very Poor	Poor	Satisfied	Great	Outstanding
Cleanliness and appearance of center
Overall friendliness of staff
Overall professionalism of the staff
Overall appearance of the staff
Your overall experience
Our ability to provide you with confidence in our skills and expertise
The ease of scheduling your appointment

07. Based on your most recent experience with our services overall, how likely are you to:

	Definitely will not	Probably will not	Don't know	Probably will	Definitely will
Schedule another appointment with us
Recommend us to your friends and family

08. How did your condition affect you physically & emotionally before your procedure?

09. Are you happy with the results and the patient care you received?

Yes No

10. Can you compare how you felt before the procedure to how you feel now?

11. If a friend or business colleague asked you what you thought of the results of your procedure and if you would recommend the URO Center what exactly would you say to them?

12. How you felt about your experience helps us to better understand both the physical and emotional needs of our patients. We would like to share your experience with others who might be struggling with the same issues as you so we can help them. Do we have your permission to let us share this information on our website and informational material to help other patients understand the benefits of having these types of procedures performed.

Yes, you can share my name and my comment.
Yes, but only anonymously. (We can share your comment but not your name.)
No. (The staff will see your comments but no one else will.)

13. Please enter your name and e-mail address, and we will send you an e-mail with confirmation of your entry into our draw.

First Name
Last Name
E-Mail Address

14. Would you like to receive our monthly newsletter with health tips and helpful medical advice?

Yes No

Patient Reviews

“The Patient care I received from the URO Center was absolutely the best you could want. My condition affected me both physically and emotionally… I was depressed, angry and hopeless. What a difference from then to now. I am optimistic, grateful and normal!

My advice to you is – Run don’t walk to see Dr. Jerry Blaivas. He is concerned, dedicated and a Brilliant Doctor!”

~ B.P.
“After 8 months of living with a catheter, months of tests and surgeries, I was informed that I may have to live my entire life inserting a catheter. I went for a second opinion with Dr. Blaivas who assured me that I had a good chance of full recover and no more catheters. Everyone from the doctor to his staff are kind, courteous and made me feel at ease. In a mere two days after my surgery with Dr. Blaivas I was able to empty my bladder on my own and I feel like I have my life back!”

~ A.F.
“I have been battling urological issues for over 15 years. Diabetes was causing build up to where i had to catheterize every year for a week at a time after undergoing a procedure to clean out the urethra. After so many years of catheterizing so much, my urethral passage was so weak that it started causing infections. Many hospitalizations and much needed antibiotics later, I was referred to see someone new. Dr. Blaivas gave me new hope, he took his time breaking things down for me to fully understand. Dr. Blaivas performed a Urethral Reconstruction not so long ago, I have healed well and no longer have to catheterize. My surgery was a success. I wish Dr. Blaivas many blessings as he blessed my life with his God given skills and compassionate heart.”

~ F.G.