THE DAY OF YOUR PROCEDURE

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* 1. Overall, how would you rate the care you received during your procedure?

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* 2. Would you recommend us to your family and friends?

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* 3. What is the name of the physician who performed your procedure?

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* 4. During check-in, did you have to give the same information more than once?

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* 5. How would you rate the courtesy of the person who checked you in?

 
Poor
Fair
Good
Very Good
Excellent

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* 6. If your procedure did not start on time, did someone give you a reason for the delay?

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