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* 1. How satisfied were you with scheduling your medical procedure?

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* 2. Upon your arrival at the hospital, how easy or difficult was your check in process?

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* 3. How satisfied or dissatisfied were you with clear and sufficient instructions and written information?

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* 4. During this stay at the hospital, how would you rate responsiveness of the stuff?

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* 5. How well your cultural or religious needs were respected by the hospital?

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* 6. How satisfied were you with the information provided about what was done during your procedure and what to do and what to expect after procedure?

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* 7. During this stay at the hospital, how often was your pain well controlled?

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* 8. During this stay at the hospital, how often were your room and bathroom kept clean?

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* 9. Did you get the information on how to manage your condition/recovery at home? 

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* 10. How likely are you to recommend this facility to others?

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