Patient Survey

The professional quality of your healthcare is our concern. It is important to us to be certain that we are providing you with first class care, special, and personal attention.

To accomplish this we need your input. Your concerns and suggestions are important to us. In order to continue our high quality of healthcare service and to better serve you, we are asking you to take a few minutes to complete our completely anonymous Patient Satisfaction Survey. We encourage you to be open and honest in your assessment. If you have any concerns that you would like to address, please feel free to contact me personally, or request at the bottom of the survey that I contact you.

We all know that you the customer have many options when seeking a facility to have surgery. On behalf of the Pleasant View Surgery Center Team, I would like to personally thank you for your time and consideration in helping us to provide continued growth, resulting in an exceptional experience for all who come to Pleasant View Surgery Center.
Sincerely,

Molly Cordova Gallant BSN, RN
Nurse Administrator
208-262-3823

OUR FACILITY
Convenience of center's location
Cleanliness of center
Comfort of waiting room
Center was welcoming in appearance, decorations, amenities
SCHEDULING/REGISTRATION/BILLING
Providers office explained PVSC process and provided all forms
One Medical Passport health questionnaire explained
PVSC financial policy explained and understood
Time in waiting room
PVSC billing was clear and I understood what my Patient Responsibility was
Ability to contact PVSC billing department for payment, questions, concerns
Was explained that Anesthesia would be separately billed
Pre-OP:
One Medical Passport was user friendly
Appropriate & complete information given at pre-op phone call
Answered your questions and addressed your concerns
Waiting time prior to going into operating room
FACILITY STAFF:
Professionalism, friendliness and courtesy of staff
Staff explained process and what to expect
Staff were competent from Registration through Recovery
ANESTHESIA:
Professionalism, friendliness and courtesy of CRNA (Anesthesia Provider)
Answered your questions and addressed your concerns
POST-OPERATIVE/RECOVERY:
Was given adequate time for recovery
Staff responded promptly to your request for pain medication (if applicable)
Written instructions were understandable/explained well
All questions were answered
OVERALL EXPERIENCE:
Overall experience at the Surgery Center
COMMENTS:
Would you like to leave a quote or short testimonial for our website?
- You can use my name.
- I'd rather it be anonymous.
Would you like a response to your survey?
- Yes
- No
Patient Name (Optional)
First Last
Email
Date of Service
MM slash DD slash YYYY
CAPTCHA

Patient Survey

OUR FACILITY

SCHEDULING/REGISTRATION/BILLING

Pre-OP:

FACILITY STAFF:

ANESTHESIA:

POST-OPERATIVE/RECOVERY:

OVERALL EXPERIENCE: