Patient Satisfaction Survey

Please help us continue to improve our service by taking a moment to fill out this brief survey. We appreciate your time. If you have any further questions or concerns, please contact us.

Your Experience
  1. How satisfied are you with the pre anesthesia clinic?
  3. How satisfied are you with the explanation of risks and benefits by surgeons?
  5. How satisfied are you with the overall quality of your surgeon's care?
  7. How satisfied are you with the explanations of the risks and benefits by the anesthesia staff?
  9. How satisfied are you with the overall care of anesthesia care team before, during, and after your anesthesia?
  11. How satisfied are you with the postoperative pain control?
  13. How satisfied are you with PUNV postoperative nausea and vomiting?
  15. How satisfied are you with management of adverse effects including sore throat, hoarse voice, or difficulty in swallowing?
The Facility
  2. How satisfied are you with the respect for your privacy and confidentiality?
  4. How satisfied are you with the overall quality of the facility?
Optional - provider/facility information
 

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