How Did We Do? | QuestionPro

Do you feel your financial arrangements and options were explained clearly?

Yes

No

Was the packet/folder you received from your doctor's office informative?

Yes

No

Did the staff clearly identify themselves with their title (RN, MA) or role?

Yes

No

If you had to wait, were you kept informes and comfortable?

Yes

No

N/A

Did you have any safety issues or other concerns?

Yes

No

Comments:

Surgeon:

Date of Surgery:

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