Physicians' Surgery Center Patient Survey

In an effort to assure quality at our Center, we would greatly appreciate an evaluation of your experience at Physicians' Surgery Center. This information will be used to help us better meet the needs of our patients.

The Business Office Staff
The surgery receptionist was pleasant and courteous.
Yes No

Financial arrangements and insurance coverage were discussed with me.
Yes No

The registration process was performed efficiently.
Yes No

The Nursing Staff
The instructions I received before the day of surgery were sufficient.
Yes No

The nurses introduced themselves to me.
Yes No

The nurses were concerned for my comfort, care and privacy.
Yes No

The nurses were skilled, efficient, and professional in the treatment they provided me.
Yes No

The nurses adequately explained what I should expect during my stay.
Yes No

The Anesthesia Staff
The anesthetist/anesthesiologist answered my questions adequately before surgery.
Yes No

My Surgeon
My surgeon explained the details of my surgery.
Yes No

My surgeon was patient and caring.
Yes No

My surgeon spent enough time with me to answer my questions.
Yes No

My surgery results were explained in a sensitive manner.
Yes No

The Physical Surroundings
The following areas were clean and comfortable
Reception/Waiting Areas.
Yes No

Holding Room.
Yes No

Recovery Room
Yes No

Bathrooms
Yes No

Discharge
The discharge instructions were explained to me and were easy to understand.
Yes No

I felt well enough to go home when I was discharged.
Yes No

I received a follow-up phone call from Physicians' Surgery Center one to five days after my surgery.
Yes No

Overall
Overall, I was satisfied with the services I received during my visit to Physicians' Surgery Center.
Yes No

I would recommend this facility to my family and friends.
Yes No

What did we do during your visit that was most helpful?:


Is there anything we could have done differently during your visit to our Center?:


Did you have any complications after your surgery? (If you developed a fever, which day, and what was your temperature?:


Any additional comments or suggestions you might have for us:

Your name (OPTIONAL):


Russ Greene, R.N.
Administrator


Please note: survey form is anonymous and is submitted directly to our business office manager via artworksadvertising, our marketing and public relations firm.