Surgical Services Question Title * 1. What type of surgery did you have? General Surgery Urology Surgery Orthopedic surgery ENT Surgery Podiatry Surgery Other (please specify) Question Title * 2. Were you able to get your surgery scheduled in a timely manner? Yes No Question Title * 3. Instructions prior to your procedure were: Extremely clear Somewhat clear Not at all clear Other (please specify) Question Title * 4. Did your surgery team explain your procedure in a way you could understand? Yes No Question Title * 5. Was your pain was adequately managed/treated: Yes No N/A Question Title * 6. Were your discharge instructions clear? Extremely clear Somewhat clear Not at all clear Question Title * 7. How satisfied are you with the overall experience? Excellent Good Fair Poor Question Title * 8. How likely are you to recommend our surgical department to your family and friends? Very likely Likely Unlikely Very unlikely Question Title * 9. Comments (Optional): Question Title * 10. Contact information (optional) Name Phone number Email address If you have additional information or concerns please feel free to contact the Director of Perioperative Services 816-629-3572. Done