Patient Satisfaction Survey
Anonymous
Doctor
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Procedure Date
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1. Prior to procedure day, you were provided with all the information/instruction you needed about your procedure.
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5
2. Instructions for procedure were clear and easy to follow.
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5
3. Check-in process was smooth.
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5
4. Office staff treated me with courtesy and respect.
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5. Staff made sure I was a comfortable as possible.
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6. The nurses and doctor explained the procedure clearly.
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5
7. Discharge instructions were provided, and staff took time to explain and answer questions.
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8. Sedation and side effects were explained to me.
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5
9. If contacted prior to my procedure by the nursing staff, they were helpful and courteous.
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5
10. Nursing staff was courteous while being prepped for the procedure.
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11. Nursing staff was courteous during recovery and responded to my needs.
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5
12. If contacted at home following the procedure, the nursing staff discussed my questions or concerns.
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5
13. My doctor was courteous and knowledgeable
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14. I would recommend Rochester Gastroenterology Associates.
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15. Comments:
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