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Patient Information
» Satisfaction Survey
Satisfaction Survey
Please indicate your overall impression of Springhill Surgery Center based upon the service you received during your outpatient visit.
*
Satisfactory
Unsatisfactory
If your overall impression was not "Excellent", what would it take to make it "Excellent"?
Please indicate your overall impression of Springhill Surgery Center based upon the service you received during your outpatient visit. If your overall impression was not "Excellent", what would it take to make it "Excellent"?
Why did you choose Springhill Surgery Center?
Friend
Family Member
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Physician
Surgeon
Other
Why did you choose Springhill Surgery Center? Other
Would you recommend Springhill Surgery Center to a good friend who lives in this area, has a medical problem similar to yours, and needs outpatient surgery?
Yes
No
Not Sure
If "No" or "Not Sure", why?
Would you recommend Springhill Surgery Center to a good friend who lives in this area, has a medical problem similar to yours, and needs outpatient surgery? If "No" or "Not Sure", why?
Pre-Admission visit and/or phone call was clear
Satisfactory
Unsatisfactory
Admissions person demonstrated courtesy and concern
Satisfactory
Unsatisfactory
Billing and insurance information was clear
Satisfactory
Unsatisfactory
Waiting Time before being taken to Pre-Op reasonable
Satisfactory
Unsatisfactory
Pre-Op personnel demonstrated courtesy and concern
Satisfactory
Unsatisfactory
Pre-Op
IV was administered without excessive discomfort
Satisfactory
Unsatisfactory
Clear instructions were provided prior to surgery
Satisfactory
Unsatisfactory
Anesthesiologist demonstrated courtesy and concern
Satisfactory
Unsatisfactory
Staff provided for your physical comfort in pre-op area
Satisfactory
Unsatisfactory
Personnel demonstrated courtesy and concern
Satisfactory
Unsatisfactory
Staff explained the preparations for the procedure
Satisfactory
Unsatisfactory
Staff provided for your physical comfort
Satisfactory
Unsatisfactory
Recovery room nurses demonstrated courtesy and concern
Satisfactory
Unsatisfactory
Staff demonstrated concern for your privacy
Satisfactory
Unsatisfactory
Staff provided for your physical comfort in recovery room
Satisfactory
Unsatisfactory
Staff provided sufficient recovery time prior to discharge
Satisfactory
Unsatisfactory
Staff provided clear explanation of discharge
Satisfactory
Unsatisfactory
Which members of our staff served you "above and beyond the call of duty" during your outpatient visit? If you provide names, we will make certain that they are recognized for their service to you.
We welcome all comments, positive and negative. If you gave us low grades or encountered difficulties with a staff member, we want to know what we can do to improve our services to you and others.
Patient Number
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