Jump to Content
 

Available Forms

Copy of Patient Satisfaction Survey

Thank you for taking the time to complete this survey. Please provide your name and phone number so that we may have the opportunity to follow up with you if there are any concerns. Your name and phone number is not mandatory but is helpful.

Your feedback is important to us!

Please rate our performance by making the response that best describes your experience.

All of my questions were answered regarding my insurance or pre-payment needs.
On the day of surgery I was given clear information of what was going to happen.
I was kept well informed of what was happening throughout the day of surgery.
The staff was very willing to listen to my needs and concerns and answer my questions.
The anesthesiologist explained my anesthesia thoroughly and in a manner I could understand
I felt ready to go home by the time I was discharged.
The staff was concerned for my privacy.
The facility was clean and comfortable.
How long did you wait before you were admitted to a room?
After you were admitted to a room, how long did your wait before you were taken to surgery?
Did you observe staff washing their hands or using alcohol foam during your care?
Would you ask your doctor to come to Atlanta General and Bariatric Surgery Center if you needed surgery again in the future?
* Required field