Campus Surgery Center, LP - Patient Satisfaction Questionnaire
Thank you for choosing Campus Surgery Center. We hope your stay was as pleasant and comfortable as possible. To continue to assure the highest quality care to our patients, we ask that you respond to this brief questionnaire. All responses will be kept strictly confidential. It takes only a few minutes to complete.
Please complete all sections and submit this survey. |
Please rate the following questions by selecting from the menu of:
N/A, Strongly Agree, Agree, Disagree, Strongly Disagree. |
| Was this your first visit to Campus Surgery Center, LP? |
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| I was clearly informed of the date and time of my procedure. |
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| The Campus brochure I received was helpful and informative. |
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| The Campus web-site was helpful and informative. |
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| The facility was clean. |
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| The reception staff was courteous and helpful. |
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| The registration procedure was prompt and efficient. |
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| I was satisfied with the services of my anesthesiologist. |
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| During my stay, it was evident that the staff was concerned for my comfort and care. |
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| Throughout my stay, concern was shown for my privacy. |
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| At discharge, I was given clear instructions regarding my postoperative care. |
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| I would recommend Campus Surgery Center to a friend or relative. |
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| On a one to ten scale (ten being the best), how would you rate your care at Campus Surgery Center? |
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| Do you have recommendations for improvement? |
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| Comments**: |
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| Please contact me to discuss my suggestions or concerns. |
| Full Name & Phone: |
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| Date of Surgery: |
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