Patient Survey

Please select a number from 1-5 (5 being the best):

Overall rating (How would you rate Dr. Shah & Luxe Medical Spa and your overall experience?)


Recommend to a friend (Would you recommend Luxe Medical Spa to family/friends?)


Level of trust (Do you trust Dr. Shah to make recommendations that are in your best interest?)


Office staff (Friendliness and courtesy of the office staff)


Office environment (Cleanliness, comfort, lighting, temperature, location)


Helpfulness (Did Dr. Shah & Luxe Medical Spa help you understand your medical conditions[s]?)


Wait time (Time you waited in the waiting room? 1 would be “too long” and 5 would be “great wait time”)


Scheduling time (Time you waited to get an appointment after requesting one)


Comments (Please share your experience with Dr. Shah & Luxe Medical Spa)


By agreeing below, I agree to allow Center for Vein Wellness (the office of Dr. Shah), and their marketing team to use this survey & testimonial on If needed, I will also allow a user profile to be created on my behalf in order to submit my review to trusted medical review websites (such as but not limited to Google,, and I will allow my name (first name and last name’s initial (not full name)) to be used solely for the purpose of submitting this review online on such websites. This survey WILL NOT be shared with other companies or websites other than for the sole purposes of online reviews.*


Patient Name


Patient Reviews