Patient Satisfaction Survey Patient Satisfaction Survey Based on your experience with our office, please rate the following on a scale from excellent to poor. The Pre-op teach with the Nursing staff was helpful Strongly Disagree Disagree Neutral Agree Strongly Agree The staff was able to answer all of my questions and explain the procedure effectively Strongly Disagree Disagree Neutral Agree Strongly Agree The surgical procedure was discussed to my satisfaction, prior to the start of the procedure Strongly Disagree Disagree Neutral Agree Strongly Agree The post-op instructions were clear Strongly Disagree Disagree Neutral Agree Strongly Agree The course of the anesthesia was satisfactory Strongly Disagree Disagree Neutral Agree Strongly Agree My prescriptions were discussed thoroughly Strongly Disagree Disagree Neutral Agree Strongly Agree The staff was courteous and polite Strongly Disagree Disagree Neutral Agree Strongly Agree The environment was clean and organized Strongly Disagree Disagree Neutral Agree Strongly Agree The lab services (if any) performed were up to my satisfaction Strongly Disagree Disagree Neutral Agree Strongly Agree All lab services (if any) were explained to me to my satisfaction Strongly Disagree Disagree Neutral Agree Strongly Agree Comments Thank you! Thank You!
