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Please rate our performance by selecting the response that best describes your experience with us, feel free to add your comments. When you have completed the evaluation, hit the "Send" button at the bottom of the survey.

1. Were your pre-op instructions given in a manner that you understood?
Excellent Good Fair Poor		     Suggestions / Comments

 
2. Were your financial arrangements discussed courteously and to your satisfaction?
Excellent Good Fair Poor		    
3. Did the Anesthetist explain your anesthesia thoroughly and in a manner that you could easily understand?
Excellent Good Fair Poor		    
4. Were the nurses responsive to your medical and personal needs?
Excellent Good Fair Poor		    
5. Did you and your family find the atmosphere comfortable and pleasing?
Excellent Good Fair Poor		     Your Name

 
6. Were your discharge and follow-up instructions explained clearly?
Excellent Good Fair Poor		     Surgery Date

 
7. Did your experience at Primera Surgery Center meet your expectations?
Yes No
 		     Surgeon

 
8. Did a member of our staff call you post operatively to check on you?
Yes No
 		    
9. Did your doctor explain the procedure in a manner you could easily understand?
Excellent Good Fair Poor		      
10. How would you rate the Primera Surgery Center personnel for competency and professionalism?
Excellent Good Fair Poor		      
11. Would you recommend Primera Surgery Center to others?
Yes No
 		      

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