Patient feedback

Which doctor performed your procedure: Choose a Doctor Hurwich Mavrelis Mirro Shughoury Venkat
If you came to Internal Medicine prior to your procedure:
Courtesy (doctor/nurse):	Excellent Good Fair Poor
Professionalism (doctor/nurse):	Excellent Good Fair Poor
Pre-procedure visit:	Excellent Good Fair Poor
Pre-procedure instructions:	Excellent Good Fair Poor
Courtesy (receptionist and personnel):	Excellent Good Fair Poor
Facilities (temperature, lighting, furnishings):	Excellent Good Fair Poor
IMA Endoscopy Surgicenter
Procedure Convenience:	Excellent Good Fair Poor
Post Procedure Instructions:	Excellent Good Fair Poor
Overall Experience:	Excellent Good Fair Poor
Additional Questions
Did the doctor answer your questions satisfactorily? Yes No
Was cost a factor in the decision to use the IMA Endoscopy Surgicenter? Yes No
Would you recommend the IMA Endoscopy Surgicenter to family or friends? Yes No
Would you use the IMA Endoscopy Surgicenter again? Yes No
What did you like most about the IMA Endoscopy Surgicenter?
What did you like least about the IMA Endoscopy Surgicenter?
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Please list any general comments, suggestions, or employees who provided exceptional service:
Date of Procedure:
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We are constantly striving to improve our service. Thank you for your help!