Patient Survey – Rocky Mountain Surgical Suites

1. How likely are you to recommend Rocky Mountain Surgical Suites to your family & friends? (check one)

Who was your surgeon?

3. Do you feel your patient confidentiality was maintained at the front desk upon admission? (check one)

4. Did you experience any delays? If yes, at what point was your delay? (please check one)

5. Do you feel that you received a clear & complete explanation of your procedure by the anesthesia provider and your surgeon? (check one)

Other comments or suggestions to improve our patient’s experience at Rocky Mountain Surgical Suites:

Would you like to leave a quote or short testimonial for our website?

Would you like a response to your survey?

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