Survey

Was your overall experience at our facility positive? *

Yes No

Did you find the information and instructions you received prior to your procedure helpful and informative?

Yes No

Was the person who answered your telephone calls friendly, helpful, and interested?

Yes No

Was the Endoscopy Center easy to find and was there adequate parking?

Yes No

Was the office staff at the Endoscopy Center courteous and helpful upon your arrival?

Yes No

Was the financial transaction and billing for services conducted in a satisfactory manner?

Yes No

Were the nurses, assistants, and anesthesia provider professional, patient, and caring?

Yes No

Was the physician professional, patient, and caring?

Yes No

Was your procedure and result adequately explained to you?

Yes No

If you had any discomfort during the procedure, did we manage the discomfort adequately?

Yes No

Were the instructions you received from us for care at home after the procedure satisfactory and easy to understand?

Yes No

Would you recommend this facility to a relative or friend?

Yes No

Suggestions to improve our facility and care at the facility:

This survey will be submitted anonymously. If you would like a reply, however, please provide your name and how we may contact you.