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Your privacy is protected. All information that would let someone identify you or your family will be kept private. QuestionPro will not share your personal information with anyone without your OK. Your responses to this survey are also completely confidential. Your participation is voluntary. You may choose to answer this survey or not. If you choose not to, this will not affect the healthcare you receive. Once you've completed the survey, please return the tablet to a staff person.
Instructions
This survey will cover the following topics: Before Your Surgery, Your Surgery, Anesthesiology, After Your Surgery, Your Overall Care from Your Surgeon, Office Staff and Receptionists, Your Overall Experience.
Use the touch screen on the tablet to select your responses. |
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Before Your Surgery
Before your surgery, did you receive all of the information you needed about your surgery? |
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| Before your surgery, did you receive easy to understand instructions about getting ready for your surgery? |
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| During your office visits before your surgery, did your surgeon tell you there was more than one way to treat your condition? |
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| During your office visits before your surgery, did your surgeon ask you which treatment option you felt was best for you? |
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| During your office visits before your surgery, did your surgeon listen carefully to you? |
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| During your office visits before your surgery, did your surgeon spend enough time with you? |
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| During your office visits before your surgery, did your surgeon encourage you to ask questions? |
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| During your office visits before your surgery did your surgeon show respect for what you had to say? |
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Your Surgery
After you arrived at the surgery center, did your surgeon visit you before your surgery? |
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