Patient Satisfaction Survey

In our continuous effort to assure quality patient care in our facility, we would appreciate your completing the following questionnaire and returning to us.

your information

Overview

Did you and your family find the staff members of the facility informative?
Were you well-informed of the date and time of your procedure?
Did the surgery begin at schedule time?
Was the environment comfortable and organized?
Did the staff make themselves available to answer your questions and explain the procedures?
After the surgery, did you feel you were given enough information regarding how To get assistance, if needed?
Was nourishment provided appropriate to your needs?
Would you recommend the facility to others?

Your Experience

What did you like most about the Flatlands Medical Associates, PLLC?
Were there any problems you did not anticipate?

Your Ratings

Please rate the following:

Courtesy of the staff
Professionalism of the staff
Efficiency of the staff
Effectiveness of pre-operative explanation
Explanation of costs & insurance coverage
Effectiveness of post-operative instructions
Any Comments that you would like to add on so we might can improve our services in the future?

Overview

Yes No
Did you and your family find the staff members of the facility informative?
Were you well-informed of the date and time of your procedure?
Did the surgery begin at schedule time?
Was the environment comfortable and organized?
Did the staff make themselves available to answer your questions and explain the procedures?
After the surgery, did you feel you were given enough information regarding how To get assistance, if needed?
Was nourishment provided appropriate to your needs?
Would you recommend the facility to others?

Your Experience

What did you like most about the Flatlands Medical Associates, PLLC?
Were there any problems you did not anticipate?

Your Ratings

Please rate the following:

Excellent Average Deficient
Courtesy of the staff
Professionalism of the staff
Efficiency of the staff
Effectiveness of pre-operative explanation
Explanation of costs & insurance coverage
Effectiveness of post-operative instructions
Any Comments that you would like to add on so we might can improve our services in the future?