Please rate our performance by checking the response that best describes your evaluation. Feel free to add comments. Thank you for your input and feedback. Admitting/Registration Professional and courteous service of office staff: ExcellentGoodPoorVery Poor Speed and efficiency of registration: ExcellentGoodPoorVery Poor Satisfactory answers to financial and insurance questions: ExcellentGoodPoorVery Poor Nursing Professional and courteous service of nurses: ExcellentGoodPoorVery Poor Nurses introducing themselves and keeping you informed: ExcellentGoodPoorVery Poor Nurses explaining procedures: ExcellentGoodPoorVery Poor Satisfactory answers to questions: ExcellentGoodPoorVery Poor Written instructions for your home care: ExcellentGoodPoorVery Poor Overall Staff giving you the privacy you needed: ExcellentGoodPoorVery Poor Cleanliness and comfort of the Surgicenter: ExcellentGoodPoorVery Poor Likelihood that you would return or recommend the Surgicenter to others: ExcellentGoodPoorVery Poor OVERALL, rating of your experience at the Surgicenter: ExcellentGoodPoorVery Poor Additional Comments: Optional Information Name: Address:
