2017 - Day Surgery Patient Experience Survey AMGH Day Surgery Patient Survey * 1. Would you recommend our operating room services to your family and friends? Yes No OK * 2. Did you attend a pre-admit clinic with a nurse prior to your scheduled procedure? Yes No - If no, skip to question 6. OK * 3. At your pre-admit clinic visit, how often were you treated with respect and courtesy? Always Usually Sometimes Never OK * 4. At your pre-admit clinic, how often were things explained to you in a way you could understand? Always Usually Sometimes Never OK * 5. Did your pre-admit clinic prepare you for your experience on the day of your procedure? Yes No OK * 6. On the day of your procedure, how often did staff treat you with respect and courtesy? Always Usually Sometimes Never OK * 7. On the day of your procedure, how often did the staff respect your privacy? Always Usually Sometimes Never OK * 8. On the day of your procedure, were you seen close to your scheduled appointment time? Yes No OK * 9. On the day of your procedure, were things explained to you in a way you could understand? Yes No OK * 10. On the day of your procedure, how often was your pain well controlled? Always Usually Sometimes Never OK * 11. On the day of your procedure, when you were discharged did you know who to call if you had any questions or concerns? Yes No OK * 12. On the day of your procedure, when you were discharged were you given printed instructions regarding care and follow up? Yes No OK * 13. Were all of your questions answered before you left? Yes No OK * 14. Is there anyone you would like to recognize for providing exceptional care? OK * 15. Is there anything else we could do to improve your experience at AMGH? OK * 16. Please provide full name and contact information if you would like to discuss your experience with a member of our leadership team. OK DONE