Your trust means everything to us. We want to be better tomorrow than we were today. Please help us by filling out this short survey (1-10 scale with 10 being the best).  Thank you very much for helping us serve our community better.

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* 1. Who was your Surgeon?

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* 2. It was easy to make a convenient appointment for surgery.

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* 3. The care provided by the pre-operative staff was excellent.

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* 4. My wait time in the ahead of surgery was reasonable.

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* 5. I was comfortable during surgery.

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* 6. The Laser Suite was clean.

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* 7. My financial questions were answered ahead of surgery.

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* 8. My overall experience was excellent.

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* 9. What type of surgery did you have?

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* 10. Would you refer family or friends to us?

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* 11. What did we do exceptionally well?

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* 12. If we could improve one or two important things, what would you recommend?

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* 13. Please tell us about a staff member you feel deserves recognition.

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* 14. Do you have concerns or suggestions for improvement on your experience?  If so, would you like to be contacted?

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* 15. Full Name:

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* 16. Phone Number:

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* 17. Email Address:

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