* NAME

* HOSPITAL

* State

* 1. Your surgical neurophysiologist(s) demonstrates knowledge about the surgical procedure.

  Strongly Agree Agree Indifferent Disagree Strongly Disagree N/A
*

* 2. Your surgical neurophysiologist(s) communicates significant events timely and appropriately.

  Stongly Agree Agree Indifferent Disagree Strongly Disagree N/A
*

* 3. Your surgical neurophysiologist(s) is professional, reliable, prepared, and on time.

  Strongly Agree Agree Indifferent Disagree Strongly Disagree N/A
*

* 4. Sentient provides confirmation of scheduling in an appropriate fashion.

  Strongly Agree Agree Indifferent Disagree Strongly Disagree N/A
*

* 5. The Sentient Managerial team responds to any issues in a suitable manner.

  Strongly Agree Agree Indifferent Disagree Strongly Disagree N/A
*

* 6. You are satisfied with the overall service from Sentient.

  Strongly Agree Agree Indifferent Disagree Strongly Disagree N/A
*

* 7. Other surgeries that should be monitored but not currently monitored by Sentient:

* 8. Collected data or statistics you would like to see:

T