Patient Experience Survey

  • Patient Experience Survey

    Please fill out the post anaesthetic survey below and click [submit] to send back to us. Fields marked with '*' must be filled in. If you wish to remain anonymous, please do not fill in your name or contact details or optional choices.
  • Date of Surgery*
     / /
  • Your Age
  • Your Gender

  • Questions

  • 1. Were you happy with the service provided by the anaesthetic office?
  • 2. Were you happy with the information provided prior to your anaesthetic?
  • 3. Did you feel like you had time to ask your anaesthetist questions before your surgery?
  • If yes, how well were those questions answered?
  • 4. Did you understand the information about your anaesthetic that was given to you before your surgery?
  • If yes, how useful did you find the information?
  • 5. Did you feel like your anaesthetist listened to you?
  • 6. Did you feel rushed?
  • 7. Did you feel scared or anxious before your surgery?
  • If yes, how well did your anaesthetist manage your fear and anxiety?
  • 8. Did your anaesthetist explain to you how you might feel after the surgery?
  • 9. Did you feel nauseated and/or vomit after the surgery?
  • If yes, how well was it treated?
  • 10. Did you have pain before surgery?
  • 11. Were you in pain after the operation?
  • If yes, how well was your pain managed?
  • 12. Were you cold or shivering after the surgery?
  • If yes, how well was it managed?
  • 13. Did you have difficulty in urinating after surgery?
  • 14. Did you have difficulty in sleeping after surgery?
  • 15. Overall, did you feel you had a positive or negative experience?

  • We are committed to the protection of your privacy. We aim to provide an online environment which ensures the information you provide to us is handled in a secure, efficient and confidential manner. By accessing our site you accept the terms and conditions of its use, including consent to our right to make amendments to this statement from time to time. Please regularly review this statement to inform yourself of any amendments.

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