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* 1. Prior to my visit, I received all of the information I needed (e.g., how to prepare for my procedure)

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* 2. I knew where to go when I arrived at the hospital

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* 3. I felt welcomed and respected as a patient throughout my visit

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* 4. My privacy / confidentiality was respected at all times

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* 5. My surgery / procedure was explained to me in a way I could understand

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* 6. My anesthesia was explained to me in a way I could understand

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* 7. I was given clear discharge instructions (e.g., dietary or physical restrictions, new medications, symptoms to watch for, etc.,) to be able to manage post-operatively at home

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* 8. My questions were answered promptly and in a way I could understand

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* 9. I found the patient area to be comfortable and pleasant

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* 10. The Surgical Services area, and the hospital in general, was clean

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* 11. Overall impression of the quality of care you received

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