: : : Prexus Health Partners : : :

CEO Proudly Speaks..
on arrival of 200^th partner

Patient Forms

1- Poor 2- Inadequate 3- Fair 4- Good 5- Excellent

Overall Surgery Center experience

Preoperative phone call

Reception and registration process

Interaction with the preoperative nurse

Interaction with the anesthesia staff

Interaction with the operating room staff

Interaction with the recovery room staff

Quality and clarity of discharge instructions

Postoperative telephone call

Quality of information and education you received regarding your procedure

Protection of your dignity, privacy, and assurance of your comfort by staff

Your overall confidence level in the care provided to you by the staff

Cleanliness and appearance of the Surgery Center

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What did you like the best about your experience at the Surgery Center?

What did you like the least about your Surgery Center Experience?

Do you have any other comments or questions?

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