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After Procedure Survey


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After Procedure Survey

We want to be sure we are doing everything we can to serve you. Please take a minute to fill out this confidential survey. Just let us know what we are doing well and what we can do better!

Please rate the following items related to the Endoscopy Center and the delivery of your care. Use a scale of 1 to 5, with 5 being EXCELLENT and 1 being POOR.

  Poor Fair Good Very Good Excellent
The professionalism and helpfulness of your reception
The ease of registration and check-in process
Your wait time in the endoscopy unit
The comfort, cleanliness and amenities of the reception area
The extent to which staff respected your privacy
The nurse's listening skills
The physician's explanation of the procedure
The physician's personal manner (courtesy, respect, sensitivity, friendliness)
Technical skills (thoroughness, carefulness, competence) of the physician/practitioner
The nursing staff's personal manner (courtesy, respect, sensitivity, friendliness)
Technical skills (thoroughness, carefulness, competence) of the nursing staff
The discharge instructions that were provided to you
  Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
The time that was given to me in the endoscopy unit to recover from the prodedure was adequate
I would return to see this physician for further care
I would recommend this endoscopy unit to family and friends
Physician's Name:
Comments:
May we contact you if we have additional questions? Yes  No
If we may contact you:
Name:
Phone:
Best time to call:
Email:
Date of Service:
 
 

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Disclaimer: Nothing found at this website should be construed as medical advice or treatment recommendations. For any symptoms you may have, you should see your family physician, gastroenterologist or colorectal surgeon.zz