Patient Satisfaction Survey




Welcoming atmosphere and promptness at the time of registration

Helpfulness and courteousness of person at the registration window

Clear answers to questions regarding payment requirements and insurance billing

Comfort and cleanliness of the waiting area

Convenience of parking



Seen by a nurse within a reasonable time of signing in

Friendliness and helpfulness and care by pre-procedure nurse

Questions were answered and what to expect was explained by pre-procedure nurse

Privacy was protected as much as possible

Explanation by anesthesia provider about the type of anesthesia

Physician explained about the procedure when you saw him in the office



Courtesy of the nurses

Promptness in responding to personal needs

Level of pain control

Privacy was protected as much as possible



Extent to which you felt ready for discharge

Complete instructions given for post-procedure home care

Overall rating of care given at the surgery center

Would you recommend the surgery center?

Would you return to this surgery center for subsequent procedures if recommended by your physician?

Overall experience with the center?


Additional Comments

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