Patient Survey

Your feedback is important to us.

The staff at El Camino Surgery Center would like to hear how we performed during your stay with us.

I was treated with courtesy and respect:

I was treated promptly:

My privacy was respected:

I found the surgery center’s atmosphere comfortable and pleasing:

I encountered competent and professional surgery center staff:

I had confidence in my anesthesiologist and had my questions about anesthesia answered in a manner I could easily understand:

I had my medical and personal needs met by caring personnel:

I received clear discharge instructions from a surgery center nurse:

Overall, I was satisfied with my entire experience at the surgery:

What did you most appreciate about your experience with the surgery center:

Is there anything we could have done to make your stay with us more comfortable? Do you have any suggestions for ways to improve our services? :

I consent to share my El Camino Surgery Center experience as a testimonial:

If we may contact you for follow-up, please provide your name, phone number and date of your procedure: