Patient Satisfaction Survey

We value your opinion in our efforts to maintain a high quality of patient care provided at the Surgery Center. Please take a moment to complete the following survey. If a question is N/A, please just skip it. Thank you.

Please rate the following on a 1 to 5 scale with 1 the lowest and 5 the highest rating.

Before Day of Surgery

The quality of information and education you received from the Surgery Center prior to the day of surgery

The Surgery Center’s communication with you regarding your financial responsibilities that were to be paid the day of surgery

Registration

The quality and efficiency of the registration process

You and your family’s experience in the waiting area of the Surgery Center

Your Physicians

The courtesy, friendliness and care of the ASC staff, before, during and after the procedure

The clarity of the explanation of your discharge instructions

Overall Experience

The Surgery Center staff’s efforts to protect your privacy and ensure your comfort

Your overall experience at the Surgery Center

Would you like to be contacted by the Surgery Center’s Administrator to discuss any aspect of your visit?

Yes

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Cardiopulmonary Exercise Testing (CPET)

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