Patient Satisfaction Survey

Return to the Surgical Center

Questions	Always	Usually	Sometimes	Never
During your visit, how often did Wyoming Surgical Center patient care staff (nurses, doctors, and other staff) treat you with courtesy and respect?	Always	Usually	Sometimes	Never
During your visit, did Wyoming Surgical Center patient care staff do a good job of responding quickly to requests?	Always	Usually	Sometimes	Never
During your visit, did Wyoming Surgical Center patient care staff do a good job of keeping you informed about delays in care or treatment?	Always	Usually	Sometimes	Never
During your visit, did Wyoming Surgical Center patient care staff treat you as a whole person and not a medical condition?	Always	Usually	Sometimes	Never
During your visit, did Wyoming Surgical Center patient care staff do a good job of informing a designated family member or friend of your care and treatment?	Always	Usually	Sometimes	Never
During your visit, how often did Wyoming Surgical Center patient care staff listen to you?	Always	Usually	Sometimes	Never

Questions	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
How satisfied were you with Wyoming Surgical Center’s registration process?	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
How satisfied were you with Wyoming Surgical Center’s coordination and teamwork of all the staff that took care of you?	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied

Questions	Always	Usually	Sometimes	Never
During this visit to Wyoming Surgical Center, how often did the staff do everything they could to help you with your pain?	Always	Usually	Sometimes	Never
Before giving you any new medication, how often did Wyoming Surgical Center nurses or patient care staff explain what the medicine was for?	Always	Usually	Sometimes	Never

Questions	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
During this visit to Wyoming Surgical Center, how satisfied were you with the cleanliness of this facility?	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
How satisfied were you with how clearly and completely you were told what to do and what to expect after returning home from Wyoming Surgical Center?	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
How satisfied were you with Wyoming Surgical Center’s overall quality of care and services you received during your visit?	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied

Questions	0	1	2	3	4	5
Using any number from 0 to 5, with 0 being the worst possible care and 5 being the best possible care, what number would you use to rate Wyoming Surgical Center’s overall care that you received from all the doctors that treated you during this visit?	0	1	2	3	4	5
Using any number from 0 to 5, with 0 being the worst possible outpatient surgical facility and 5 being the best possible outpatient surgical facility, please rate the overall rating of Wyoming Surgical Center’s patient experience.	0	1	2	3	4	5

Questions	Definitely Yes	Probably Yes	Probably No	Definitely No
Would you recommend this facility to your friends and family?	Definitely Yes	Probably Yes	Probably No	Definitely No

Wyoming Surgical Center would like to hear about any person or persons that you would like to see complimented or thanked for the care they provided during your surgery visit:

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