Surgery Center Patient Survey 2019

Our goal at Missoula Bone and Joint Surgery Center is to provide comfort and quality care for our patients. Your responses will help us assess and make improvements in our facility. Please read the statement in each section and mark your choice.

	Agree	Disagree	N/A
The admission process was welcoming and efficient	The admission process was welcoming and efficient Agree	The admission process was welcoming and efficient Disagree	The admission process was welcoming and efficient N/A
The admission personnel were friendly and helpful	The admission personnel were friendly and helpful Agree	The admission personnel were friendly and helpful Disagree	The admission personnel were friendly and helpful N/A
The privacy form was explained before signing	The privacy form was explained before signing Agree	The privacy form was explained before signing Disagree	The privacy form was explained before signing N/A
Billing information/questions were answered to my satisfaction	Billing information/questions were answered to my satisfaction Agree	Billing information/questions were answered to my satisfaction Disagree	Billing information/questions were answered to my satisfaction N/A

Agree

Disagree

N/A

The admission process was welcoming and efficient

The admission process was welcoming and efficient Agree

The admission process was welcoming and efficient Disagree

The admission process was welcoming and efficient N/A

The admission personnel were friendly and helpful

The admission personnel were friendly and helpful Agree

The admission personnel were friendly and helpful Disagree

The admission personnel were friendly and helpful N/A

The privacy form was explained before signing

The privacy form was explained before signing Agree

The privacy form was explained before signing Disagree

The privacy form was explained before signing N/A

Billing information/questions were answered to my satisfaction

Billing information/questions were answered to my satisfaction Agree

Billing information/questions were answered to my satisfaction Disagree

Billing information/questions were answered to my satisfaction N/A

	Agree	Disagree	N/A
The nursing staff completed my admission in a prompt and professional manner	The nursing staff completed my admission in a prompt and professional manner Agree	The nursing staff completed my admission in a prompt and professional manner Disagree	The nursing staff completed my admission in a prompt and professional manner N/A
The nursing staff was kind and caring	The nursing staff was kind and caring Agree	The nursing staff was kind and caring Disagree	The nursing staff was kind and caring N/A
The pre-operative teaching was thorough and understandable	The pre-operative teaching was thorough and understandable Agree	The pre-operative teaching was thorough and understandable Disagree	The pre-operative teaching was thorough and understandable N/A
I was satisfied with the care from my anesthesiologist	I was satisfied with the care from my anesthesiologist Agree	I was satisfied with the care from my anesthesiologist Disagree	I was satisfied with the care from my anesthesiologist N/A

Agree

Disagree

N/A

The nursing staff completed my admission in a prompt and professional manner

The nursing staff completed my admission in a prompt and professional manner Agree

The nursing staff completed my admission in a prompt and professional manner Disagree

The nursing staff completed my admission in a prompt and professional manner N/A

The nursing staff was kind and caring

The nursing staff was kind and caring Agree

The nursing staff was kind and caring Disagree

The nursing staff was kind and caring N/A

The pre-operative teaching was thorough and understandable

The pre-operative teaching was thorough and understandable Agree

The pre-operative teaching was thorough and understandable Disagree

The pre-operative teaching was thorough and understandable N/A

I was satisfied with the care from my anesthesiologist

I was satisfied with the care from my anesthesiologist Agree

I was satisfied with the care from my anesthesiologist Disagree

I was satisfied with the care from my anesthesiologist N/A

	Agree	Disagree	N/A
The discharge process was informative	The discharge process was informative Agree	The discharge process was informative Disagree	The discharge process was informative N/A
The written discharge instructions were reviewed and sent home with me	The written discharge instructions were reviewed and sent home with me Agree	The written discharge instructions were reviewed and sent home with me Disagree	The written discharge instructions were reviewed and sent home with me N/A
My pain was successfully controlled at the surgery center	My pain was successfully controlled at the surgery center Agree	My pain was successfully controlled at the surgery center Disagree	My pain was successfully controlled at the surgery center N/A
Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.)	Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.) Agree	Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.) Disagree	Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.) N/A

Agree

Disagree

N/A

The discharge process was informative

The discharge process was informative Agree

The discharge process was informative Disagree

The discharge process was informative N/A

The written discharge instructions were reviewed and sent home with me

The written discharge instructions were reviewed and sent home with me Agree

The written discharge instructions were reviewed and sent home with me Disagree

The written discharge instructions were reviewed and sent home with me N/A

My pain was successfully controlled at the surgery center

My pain was successfully controlled at the surgery center Agree

My pain was successfully controlled at the surgery center Disagree

My pain was successfully controlled at the surgery center N/A

Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.)

Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.)

Agree

Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.)

Disagree

Expectations for my care at home were adequate (cold therapy, crutches, Pain control, etc.)

N/A

	Agree	Disagree	N/A
Overall, were you satisfied with your care at our facility?	Overall, were you satisfied with your care at our facility? Agree	Overall, were you satisfied with your care at our facility? Disagree	Overall, were you satisfied with your care at our facility? N/A
The facility was convenient, clean and comfortable	The facility was convenient, clean and comfortable Agree	The facility was convenient, clean and comfortable Disagree	The facility was convenient, clean and comfortable N/A
The staff was courteous and friendly	The staff was courteous and friendly Agree	The staff was courteous and friendly Disagree	The staff was courteous and friendly N/A
Parking was sufficient	Parking was sufficient Agree	Parking was sufficient Disagree	Parking was sufficient N/A
Concern for my privacy was respected at all times	Concern for my privacy was respected at all times Agree	Concern for my privacy was respected at all times Disagree	Concern for my privacy was respected at all times N/A

Agree

Disagree

N/A

Overall, were you satisfied with your care at our facility?

Overall, were you satisfied with your care at our facility? Agree

Overall, were you satisfied with your care at our facility? Disagree

Overall, were you satisfied with your care at our facility? N/A

The facility was convenient, clean and comfortable

The facility was convenient, clean and comfortable Agree

The facility was convenient, clean and comfortable Disagree

The facility was convenient, clean and comfortable N/A

The staff was courteous and friendly

The staff was courteous and friendly Agree

The staff was courteous and friendly Disagree

The staff was courteous and friendly N/A

Parking was sufficient

Parking was sufficient Agree

Parking was sufficient Disagree

Parking was sufficient N/A

Concern for my privacy was respected at all times

Concern for my privacy was respected at all times Agree

Concern for my privacy was respected at all times Disagree

Concern for my privacy was respected at all times N/A

Surgery Center Patient Survey 2019

Question Title

* 1. Date of Surgery:

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* 2. Type of Surgery:

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* 3. SECTION 1: ADMISSION:

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* 4. SECTION 11: PRIOR TO SURGERY:

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* 5. SECTION III: AFTER SURGERY:

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* 6. SECTION IV: GENERAL QUESTIONS:

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* 7. Would you recommend our facility to others?

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* 8. How did your family/friends perceive their experience with our personnel?

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* 9. What did you like best about our facility?

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* 10. What did you like least about our facility?

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* 11. Other comments or concerns:

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* 12. May we use your patient survey as a testimonial for marketing?