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Patient Satisfaction Survey

Thank you for taking the time to complete this survey. Providing your name and phone number gives us the opportunity to identify any areas for improvement. Your name is not mandatory but is helpful.



Please rate our performance by making the response that best describes your evaluation.

All of my questions were answered reqarding my insurance or pre-payment needs.
On the day of surgery I was given clear information of what was going to happen.
I was kept well informed of what was happening throughout the day of surgery.
The staff was very willing to listen to my needs and concerns and answer my questions.
The anesthesiologist explained my anesthesia thoroughly and in a manner I could understand.
I felt ready to go home by the time I was discharged.
The staff was concerned for my privacy.
The facility was clean and comfortable.
How long did you have to wait before you were admitted to a room?
After you were admitted to a room, how long did you wait before you were taken to surgery?
Would you ask your doctor to come to Madison Surgery Center if you needed surgery again in the future?
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