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Day Surgery Patient Experience Survey
1.
Prior to my visit, I received all of the information I needed (e.g., how to prepare for my procedure)
Strongly agree
Agree
Disagree
Strongly disagree
2.
I knew where to go when I arrived at the hospital
Strongly agree
Agree
Disagree
Strongly disagree
3.
I felt welcomed and respected as a patient throughout my visit
Strongly agree
Agree
Disagree
Strongly disagree
4.
My privacy / confidentiality was respected at all times
Strongly agree
Agree
Disagree
Strongly disagree
5.
My surgery / procedure was explained to me in a way I could understand
Strongly agree
Agree
Disagree
Strongly disagree
6.
My anesthesia was explained to me in a way I could understand
Strongly agree
Agree
Disagree
Strongly disagree
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
Strongly agree
Agree
Disagree
Strongly disagree
8.
My questions were answered promptly and in a way I could understand
Strongly agree
Agree
Disagree
Strongly disagree
9.
I found the patient area to be comfortable and pleasant
Strongly agree
Agree
Disagree
Strongly disagree
10.
The Surgical Services area, and the hospital in general, was clean
Strongly agree
Agree
Disagree
Strongly disagree
11.
Overall impression of the quality of care you received
0
5
10 (best)
Clear
12.
Comments?
Current Progress,
0 of 12 answered