Survey - Denali Anesthesia

Service Date

Procedure Description

1. During the visit with the anesthesia team before my surgery I was able to ask the questions I wanted.

Agree Strongly Agree Neither Agree nor Disagree Disagree Disagree Strongly

2. The anesthesia team was willing to listen to my questions.

Agree Strongly Agree Neither Agree nor Disagree Disagree Disagree Strongly

3. Talking with the anesthesiologist during this visit made me feel more calm and relaxed.

Agree Strongly Agree Neither Agree nor Disagree Disagree Disagree Strongly

4. I had confidence in my anesthesia provider.

Agree Strongly Agree Neither Agree nor Disagree Disagree Disagree Strongly

5. How likely are you to recommend your anesthesia provider to others?

Definitely Will Probably Will Might or Might Not Probably Will Not Definitely Will Not

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