Patient Satisfaction Survey

Trinity Surgery Center is dedicated to providing the highest quality patient care. In order to better serve your needs,
please take a moment to answer the following questions.

My wait time upon entering the center was:

15-30 mins30-45 mins45-60 minsover 60mins

Please rate the service you received from 1-10, 1 is Poor and 10 is Excellent, N/A is not applicable.

I was informed about my insurance coverage and any fees due prior to my arrival procedure.

10987654321N/A

The Center was easy to find and the directions given were easy to follow.

10987654321N/A

The Facility Staff that I encountered BEFORE my surgery/procedure was considerate, friendlyand
knowledgeable.

10987654321N/A

The Facility Staff and Doctor’s that I encountered DURING my surgery/procedure was considerate, friendly
and knowledgeable.

10987654321N/A

The Facility Staff that I encountered AFTER my surgery/procedure was considerate, friendlyand
knowledgeable.

10987654321N/A

The staff’s instructions concerning my discharge care and who to contact in case of emergency were clear
and easy to understand.

10987654321N/A

The Staff took measures to protect my privacy and I felt I was treated with respect and courtesy at alltimes.

10987654321N/A

The Center appeared clean and well kept.

10987654321N/A

Staff introduced themselves to me as I came in contact with them.

10987654321N/A

I am likely to return to this Center for care and/or recommend this center to others.

10987654321N/A

I have Issues or concerns that need to be addressed and want to be contacted.

Name:

Email:

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Comments: