Please take a moment to provide us with feedback on your visit to The Orthopaedic Surgery Center.
Your input will be used to help us continually improve our services.
Please rate the quality of your interaction with the Surgery Center staff:

* 1. Prior to your procedure:

  Excellent Fair Poor N/A
Passport Online Registration
Reception and Registration Process

* 2. During Your Procedure:

  Excellent Fair Poor N/A
Interaction with pre-op staff
Interaction with anesthesia staff
Interaction with operating room staff
Interaction with recovery staff

* 3. Please Rate The Following:

  Excellent Fair Poor N/A
Please rate the quality of information and education you received from the Surgery Center staff regarding your procedure and how you would feel afterwards.
How well did the staff protect your dignity and privacy?
How well did the staff ensure your comfort?
Please indicate your overall level of confidence in the care provided to you by the Surgery Center Staff.
Please rate the cleanliness and appearance of the Surgery Center.
How would you rate your overall Surgery Center experience to others?

* 4. Additional Information:

* 5. Contact Information

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