PATIENT FEEDBACK SURVEY As per the requirements of the Australian Commission on Safety and Quality in Health Care, we are required to conduct a Patient Experience Survey on a regular basis. Responses can remain anonymous. Question Title * 1. Date of procedure: Date of Procedure Date Question Title * 2. IV Sedation: Yes No Question Title * 3. Identifies as Aboriginal and/or Torres Strait Islander: Aboriginal and / or Torres Strait Islander No Question Title * 4. Procedure: Question Title * 5. Surgeon: Dr Paul Sambrook Dr Justin Collum Dr Glen Carter Dr Sanjaya Gamage Dr Aaron Thomas Dr Kristen Candy Dr Sam Spencer Next
