How Are We Doing?

We're committed to monitoring the quality of the services and products we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (All submissions are anonymous.)

* 1. Please enter you patient account number. This number is located on your bill. If you do not know your patient account number please contact our billing office at 1-800-464-6075

* 2. Please enter the date of your procedure. If your hospital stay involved multiple days and multiple procedures, please enter the day you were admitted.


* 3. Please select the facility used for your procedure

* 4. My procedure was

* 5. Please rate the following based on your vist to our facility.

  Excellent Good Adequate Poor Unacceptable N/A
Anesthesia staff greeted me before procedure and was professional and careing
Communication was clear and informative
Anesthetic procedure was discussed and questions were answered to my satisfaction
Nursing staff was caring and professional
Post Operative pain management was discussed and delivered accordingly
Responding promptly to problems
Follow up was performed and questions answered prior to discharge

* 6. Overall, how do you rate the quality of products and services we provide?

* 7. What level of confidence do you have in us to deliver the services that you require?

* 8. Based on our performance, how likely is it that you will use us in the future?

* 9. If you have any suggestions regarding how we could improve the services we provide to you, please enter them in the box below.