Rate Your Visit at BSM Surgery Center

At BSM Surgery Center, we value your feedback about your experience with us. Please let us know what you liked and/or what could use improvement. Your comments help us to be our best! Patient satisfaction is very important to us so we greatly appreciate you taking a moment to answer the questions below. Thank you.

Patient Satisfaction Survey

Name:

Email:

Surgery Date:

Physician:

Pre-surgery phone call and instructions from the surgeon's office were clear, including when and if to stop eating and drinking:

Registration process was prompt and efficient:

Registration staff was courteous:

The facility was clean and comfortable:

The anesthesia staff provided a clear explanation regarding your anesthesia care:

The nursing staff was helpful and sensitive to your needs and concerns:

Your surgeon adequately explained the procedure:

After your procedure, your recovery room experience was positive and your post-operative instructions were explained:

Your privacy was maintained throughout your stay:

Would you return to BSM Surgery Center if needed, or recommend BSM Surgery Center to your family and friends?

We welcome your comments and suggestions:

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