Survey #3 - ASC Family Satisfaction:

This form is made available for you to give feedback on your experience with Acadiana Surgery Center, Inc. This form is completely anonymous. Please help us serve you better by submitting your comments.

PLEASE CHECK OFF YOUR ANSWERS TO THE FOLLOWING QUESTIONS:

1. The staff treated me in a professional, informative, and helpful manner.

Always Often Not applicable Rarely Never

2. I was advised of the patient's condition while waiting.
Always Often Not applicable Rarely Never

3. I was advised of any potential delays.

Always Often Not applicable Rarely Never

4. I was advised of important findings/instructions concerning the patient and his/her home care after discharge.
Always Often Not applicable Rarely Never

Choose the most important item:          
Choose the item second in importance:

I would improve the care of patients and/or the management of pain at ASC, Inc. by:

What do you feel is needed in Iberia Parish to improve health care?

 




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