Surgery Center Feedback

It is our goal at North Cascade Eye Associates to continuously improve our practice.  It’s patients like you who make the difference, and we’d like to know about your experience with us.  Please take a moment to let us know how we are doing!  Click the Submit button at the bottom of the page when you have completed this page. Thank You!

Please answer the following questions about your experience at NCEA Surgery Center.

1-POOR    2-FAIR    3-GOOD   4-EXCELLENT

Front desk check-in	1 2 3 4
Time waited in reception area	1 2 3 4
Pre-Operative nursing care	1 2 3 4
Anesthesia care (IV, anxiety and pain Control)	1 2 3 4 N/A
Surgeon care	1 2 3 4
Post-Operative nursing care	1 2 3 4
Discharge instructions	1 2 3 4

Did the reception staff treat you with courtesy and respect? 

Y

N

Did you receive information about your arrival time for your surgical procedure in a timely fashion? 

Y

N

Were instructions given during your pre-operative phone call explained clearly?

Y

N

Did nursing personnel explain your post-operative instructions in a manner that could be easily
understood?

Y

N

Did you receive a follow up phone call from your surgeon?

Y

N

Would you return or refer a friend or family member to our facility of care?

Y

N

 

Additional comments/suggestions: