Patient Survey 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 fieldPatient'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 medication Fever greater than 100.5 Vomiting or nausea for several hours Excessive bleeding Headache Difficulty breathing Prolonged numbness How was your overall experience at the Longmont Surgery Center? Excellent Good Poor What could we have done to make your time with us more comfortable? Patient Survey Sent Patient Survey Failed Please try again later.
