Stony Point Surgery Center
804.775.4500
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Please take a moment to evaluate the care you received at the Stony Point Surgery Center. Your honest responses are very important to us because you can help us identify any problems that need to be resolved and improve our services.
On a scale of 1 to 5, with "5" being excellent and "1" being poor.
FACILITY:
5
4
3
2
1
  Parking
  Location
  Cleanliness
  Temperature
  Furnishings
  Hours (6 a.m. - 6 p.m.)
 
REGISTRATION / BUSINESS OFFICE:
5
4
3
2
1
  Courtesy of staff
  Promptness of registration
  Answers to insurance/financial questions
  Explanation of patient privacy
 
NURSING CARE:
5
4
3
2
1
  Courtesy to you and your family
  Explanation of pre-procedure instructions
  Efforts to answer questions and keep you informed
  Responsiveness to your needs
  Respect for privacy
  Confidence of care
  Insertion of IV
 
ANESTHESIA CARE:
5
4
3
2
1
  Explanation of procedure
  Willingness to answer questions
 
OPERATING ROOM CARE:
5
4
3
2
1
  Concern shown for your well-being
  Explanation of procedure
  Willingness to answer questions
 
POST-OP CARE:
5
4
3
2
1
  Concern shown for your well-being
  Explanation of home care instructions
 
OVERALL EVALUATION:
5
4
3
2
1
  Timeliness of surgery
  Overall satisfaction
  Likelihood you would recommend the Center to a family member or friend
  Likelihood you would allow the staff at the Center to care for you again
 
PLEASE ADD ANY COMMENTS THAT YOU FEEL WOULD HELP US
IMPROVE YOUR EXPERIENCE AT THE SURGERY CENTER
May we use your comments on our website ?
Patient's Name: (optional)
Date of Service: A value is required.Invalid format.(example: 07/15/11)
Procedure Type:
Surgeon's Name: