LVI Outpatient Center and Surgery Center of Central Florida Patient Survey

THE DAY OF YOUR PROCEDURE

Question Title

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

Poor

Fair

Good

Very Good

Excellent

Question Title

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

Yes, definitely

Yes, probably

No

Question Title

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

Question Title

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

Yes

No

Question Title

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


Poor	Poor	Poor	Poor	Poor	Poor
Fair	Fair	Fair	Fair	Fair	Fair
Good	Good	Good	Good	Good	Good
Very Good	Very Good	Very Good	Very Good	Very Good	Very Good
Excellent	Excellent	Excellent	Excellent	Excellent	Excellent

Question Title

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

Yes

No

My procedure started on time