All completed surveys will be entered into a quarterly drawing for $100.00 off your bill or as a refund if your account balance is zero. Dear Patient, Your comments about the care you received at the Longmont Surgery Center are important to us for continued quality care. Longmont Surgery Center Management * Indicates a required field. Patient's Name* Date of Surgery* Was our staff at check-in courteous and your registration prompt?     Yes     No Was our center clean and comfortable?     Yes     No Was our nursing staff courteous and responsive to your needs?     Yes     No Did you have any concerns regarding your pain at the time of discharge?     Yes     No Was your anesthesia explained to your satisfaction by the anesthesiologist?     Yes     No     N/A How would you rate your anesthesia experience?     Excellent     Good     Poor     N/A If your child had a procedure, did you feel that you were reunited as soon as possible?     Yes     No     N/A From the time you arrived at the Surgery Center, approximately how long did you wait before you were taken back to pre-op?     < 15 minutes     1 hour     > 1 hour Did our nurses clearly and thoroughly explain the instructions for your care at home?     Yes     No Did you experience any UNEXPECTED problems after your procedure?     Discharge from incision/injection site     Pain unrelieved by prescribed medications     Fever greater than 100.5     Vomiting or nausea for several hours     Excessive bleeding     Headache     Difficulty breathing     Prolonged numbness How was your over all experience at the Longmont Surgery Center:     Excellent     Good     Poor What could we have done to make your time with us more comfortable?