Gramercy Surgery Center

Thank you for taking the survey. Your feedback is important to us. 

* 1. At which center did you have your procedure(s)?

* 2. Please evaluate your reception at the center and the quality of your care.

  Excellent Good Adequate Poor Unacceptable N/A
Was the office staff courteous when you called the center?
Was the registration staff helpful when you arrived?
Did the nursing staff demonstrate continuous concern for your care and comfort?
Was your privacy respected at all times?
Did our pre-operative instructions adequately prepare you for your surgical visit?
Were you fully informed and satisfied with your anesthesia experience?
Do you feel the discharge instructions have prepared you for your recuperation at home?
Were you comfortable with the appearance and cleanliness of the center?

* 3. How would you rate the overall experience you have with us?

* 4. Please answer the following questions regarding your well-being after your procedure(s).

  Yes No
Did you experience any dizziness, nausea, or bowel disturbances?
Did you experience any problems as urinating?

* 5. Would you choose to return to Gramercy Surgery Center if required another procedures in the future?

* 6. How likely is it that you would recommend Gramercy Surgery Center to a friend or colleague?

Not at all likely
Extremely likely

* 7. Do you have any suggestions on how we could improve the services we provide to you?

* 8. Your Name (Optional)

* 9. The Date of Your Visit (Optional)

T