Fredericksburg Anesthesia Associates cares about the patients we serve. Our physicians are committed to delivering excellence in patient-centered anesthesia care while providing the highest level of customer service to our patients, their families, and our community. By taking this time to provide feedback, you are giving us valuable, essential information regarding the care you received. This feedback enable us to tailor our efforts to meet the needs of our patients present and future! We appreciate your completion of this survey.

* 1. In an effort to ensure that only one survey is completed per patient please enter your patient account number. This number is located on your FAA bill. If you are unsure of your account number please call our billing office at 1-800-464-6075 and a representative will gladly assist you.

* 2. What facility did you use for your delivery?

* 3. What type of delivery did you have?

* 4. What was the date of your delivery?

(mm/dd/yyyy)
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* 5. Before your delivery/procedure, did you speak to an anesthesiologist/nurse anesthetist?

* 6. Please answer the following questions regarding your anesthesia experience.

  Very Satisfied Satisfied Ambivalent Somewhat Dissatisfied Very Dissatisfied N/A
Were the anestheisa providers courteous/friendly?
Were you satisfied with the time it took for the anesthesia provider to arrive?
If there was a delay in response time, a reason was explained to me?
Did a provider explain your anesthetic plan in terms you could understand to your satisfaction?
Did the anesthesiologist go over an informed consent prior to your procedure?
Were you informed to your satisfaction, what to expect regarding anesthesia BEFORE your delivery?
Were you informed to your satisfaction, what to expect regarding anestheisa AFTER your delivery?
Did you feel that the anesthesia providers spent adequate time with you?
Did the anesthesia providers address your worries/questions/ concerns appropriately?
Did the anesthesia provider show comfort and sensitivity to my needs?
Were you satisfied with your pain control during labor and/or delivery?
An anesthesiologist visited me the day after my delivery and answered any questions I may have had?
Overall, how would you rate the anesthesia services we provided to you?

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