Patient Survey

Your responses to these questions provide us with valuable information about the quality of our services.

Please take this 15 question survey so that we may better serve you.

1. How would you rate your experience with the telephone receptionist?





2. How would you rate your experience with the office receptionist?





3. How would you rate your experience with the pre-op nurse?





4. How would you rate your experience with the physician?





5. How would you rate your experience with the procedure nurse?





6. How would you rate your experience with the recovery nurse?





7. How would you rate the physical environment of the center?





8. How would you rate the knowledge of the staff?





9. How would you rate the usefulness of the written materials?





10. How would you rate the professionalism of the staff?





11. How would you rate the pain control during your operation?





12. Overall, how was your experience at Gynemed Surgical Center?



13. Would you refer family or friends to Gynemed Surgical Center?


14. How did you find out about Gynemed Surgical Center?




15. Please write any additional comments in this space.



www.gynemed.org
Copyright © 2010 Gynemed Surgical Center. All Rights Reserved.