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Please select location that you attended:

[ Select Your Location ] Griffin Road Campus North Florida Main Campus

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Our Phone Assistance
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Scheduling a convenient appointment with the Surgery Center was not a problem.
When contacting the facility, the phone staff was helpful.
Comments or Suggestions:

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General Information Prior to Surgery
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
The instructions I received prior to surgery were helpful and adequate.
Prior to my visit, my financial responsibilities were discussed and my questions answered.
The directions to the facility were clear and accurate.
Comments or Suggestions:

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Upon Arrival
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Parking was convenient.
The registration and business staff were courteous and helpful.
My waiting time prior to surgery was reasonable and as expected.
Comments or Suggestions:

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Our Facility
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
of LSDC was clean.
The decor of   of LSDC was attractive and cheerful.
The family waiting area was comfortable.
The patient waiting area was comfortable.
Comments or Suggestions:

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Our Nursing Care
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Prior to surgery, the nursing staff was courteous and friendly.
The nursing staff was concerned for my comfort.
The nursing staff was knowledgeable and competent.
Comments or Suggestions:

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Our Anesthesia Care
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
The anesthesia staff was courteous and friendly.
The anesthesia staff spent adequate time reviewing my anesthesia care and answering my questions.
Comments or Suggestions:

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Your Surgeon
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
My surgeon was courteous and friendly.
Before my surgery, I received adequate explanations regarding my procedure and my questions were answered.
After my surgery, my surgeon explained the results of my surgery/procedure to me or my family and answered my questions.
Comments or Suggestions:

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Your Family
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
My family was adequately informed throughout my visit.
Comments or Suggestions:

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Your Privacy
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
My privacy was respected at all times.
Comments or Suggestions:

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My Recovery in the Facility
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
The recovery staff was courteous and friendly.
My pain level was as expected and well controlled.
Adequate time was allowed for my recovery at the facility.
Comments or Suggestions:

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Discharge Instructions
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
My homecare instructions were clear and helpful.
Comments or Suggestions:

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Home Follow-up
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
When I was contacted at home, the clinical staff was concerned for my progress and comfort.
Comments or Suggestions:

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Your Overall Impressions
	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Overall, I am very confident in the care I received at   of LSDC.
I will recommend   of LSDC to my friends and family.
Comments or Suggestions:

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