* 1. Were you contacted by our nursing staff the day prior to your procedure?

  Yes No
Pre-Procedure

* 2. If yes, did our nursing staff clearly explain pre-operative instructions to your satisfaction?

  Yes No
Pre-Procedure

* 3. The registration staff were friendly and helpful.

  Strongly Agree Agree Disagree Strongly Disagree
Pre-Procedure

* 4. The registration process was efficient and instructions were clearly explained.

  Strongly Agree Agree Disagree Strongly Disagree
Pre-Procedure

* 5. The waiting area was clean and comfortable.

  Strongly Agree Agree Disagree Strongly Disagree
Pre-Procedure

* 6. General comments regarding the pre-procedure experience.

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