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.

* 1. Date of Surgery:

* 2. Type of Surgery:

* 3. SECTION 1:  ADMISSION:

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

* 4. SECTION 11:  PRIOR TO SURGERY:

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

* 5. SECTION III:  AFTER SURGERY:

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

                    

* 6. SECTION IV:  GENERAL QUESTIONS:

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

* 7. Would you recommend our facility to others?

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

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

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

* 11. Other comments or concerns:

* 12. You may contact me for permission to use my patient survey as a testimonial

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