ESC-MT Patient Satisfaction Survey Please tell us about your recent experience by rating us on the following items: Question Title * 1. If you spoke with the surgery center by phone, how would you rate the helpfulness of the person you spoke with? GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 2. Appropriateness and accuracy of the information given during the pre-op call, including arrival time, directions, and preparation for the surgery. GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 3. Registration process on the day of surgery, including helpfulness of the front desk staff. GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 4. Total time in the facility - was it within the time frame that you were given? GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 5. Professionalism and courtesy of the center staff and anesthesia provider. GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 6. Cleanliness of the center and the comfort level of the patient/caregiver. GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 7. How well were your questions and concerns addressed on the day of surgery? GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 8. Quality of discharge teaching and post-op instructions. GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 9. How would you rate your overall experience? GREAT GOOD FAIR OK POOR GREAT GOOD FAIR OK POOR Question Title * 10. What is the likelihood that you would recommend the center to others? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Question Title * 11. We appreciate any additional feedback on services provided by our staff. If one of our team members made an impression, please share: Question Title * 12. Patient's Surgeon (Optional): Dr. Everman Dr. Guduru Dr. Horn Dr. Jones Dr. Kroll Dr. Lowrance Dr. McFarland Dr. Shelton Dr. Umunakwe (Obi) Dr. Valenzuela Dr. Wang Dr. Young Question Title * 13. Patient Contact Information (Optional): Name Phone Number Question Title * 14. Date(s) of Service (Optional): 100% of survey complete. Done