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Survey
kristycrabtree
2023-03-21T15:13:04-07:00
TAKE OUR SURVEY
In order that we may better serve our patients, please take a few moments to rate our service as follows:
Please Enter Your Code
Today's Date
MM slash DD slash YYYY
The surgical procedure was discussed to my satisfaction prior to the event.
1: Excellent
2: Good
3: Fair
4: Poor
Pre-operative teaching was helpful.
1: Excellent
2: Good
3: Fair
4: Poor
The date and time of the procedure was clearly reviewed.
1: Excellent
2: Good
3: Fair
4: Poor
The events of the surgical schedule proceeded on time.
1: Excellent
2: Good
3: Fair
4: Poor
The environment was comfortable and organized.
1: Excellent
2: Good
3: Fair
4: Poor
The staff were available to answer questions and explain procedures.
1: Excellent
2: Good
3: Fair
4: Poor
Information regarding post-operative care was clearly reviewed.
1: Excellent
2: Good
3: Fair
4: Poor
The staff was courteous, efficient, and professional.
1: Excellent
2: Good
3: Fair
4: Poor
What did you find like most about the facility?
Please give two suggestions on how we might improve our service.
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