Patient Satisfaction Questionnaire

1. How helpful was the phone call prior to your surgery?

2. How satisfied were you with the answers to your billing and insurance questions?

3. Did the staff treat you with courtesy?

4. Was the staff available to answer questions and explain procedures?

5. Did the staff demonstrate concern for your comfort and personal safety?

6. Were you satisfied by your treatment with all departments?

7. Were your discharge instructions explained clearly?

8. Did you recieve a follow-up phone call within 3 business days?

9. Would you recommend our facility to a family member or a friend?

10. If we choose to, may we have your premission to publish any comments or concerns, including your name, from your survey?