In order that we may better serve our patients, would you please take a few moments to rate our service?

1. The surgical procedure was discussed to my satisfaction prior to the event?
2. The date and time of the procedure was clearly reviewed?
3. The events of the surgical schedule proceeded on time?
4. The environment was comfortable and organized?
5. The staff were available to answer questions and explain procedures?
6. Information regarding the post operative care was clearly reviewed?
7. Prescriptions were given and discussed?
8. The facility’s hours were convenient?
9. The staff were courteous, efficient and professional?
10. Pre-operative teaching was helpful?
11. Course of anesthesia was satisfactory?