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1. What type of surgery did you have?

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2. Were you able to get your surgery scheduled in a timely manner?

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3. Instructions prior to your procedure were:

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4. Did your surgery team explain your procedure in a way you could understand?

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5. Was your pain was adequately managed/treated:

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6. Were your discharge instructions clear?

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7. How satisfied are you with the overall experience?

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8. How likely are you to recommend our surgical department to your family and friends?

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9. Comments (Optional):

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10. Contact information (optional)

If you have additional information or concerns please feel free to contact the Director of Perioperative Services 816-629-3572.

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