Survey contact us Patient Satisfaction Survey We value your feedback. Please take a few minutes to let us know about yourexperience at CoSurgery. Your input helps us improve our services and provide the bestcare possible. Date of your visit Rate your experience (1 = Poor, 5 = Excellent) Ease of scheduling your procedure 1 2 3 4 5 Friendliness of Reception Staff 1 2 3 4 5 Wait time before procedure 1 2 3 4 5 Professionalism of Nursing Staff 1 2 3 4 5 Communication from your surgeon 1 2 3 4 5 Anesthesia team care and explanation 1 2 3 4 5 Was your pain managed appropriately 1 2 3 4 5 Cleanliness of the facility 1 2 3 4 5 Overall satisfaction with your visit 1 2 3 4 5 Feedback (optional): What did we do well? What could we improve? Would you recommend our surgery center to others? Yes No Maybe Optional Contact Information: If you'd like us to follow up with you, please provide your name & contact information. SEND