Green Lane Surgical Day Stay Limited Patient Satisfaction Survey
Green Lane Surgical Day Stay Limited is committed to providing a continuously improved service to patients and their family/whanau support person. To enable us to continually improve our service we invite you to complete this “Satisfaction Questionnaire” We would appreciate your time in completing this questionnaire.
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Please answer the following regarding you preoperative visit to our rooms.

1 being very unsatisfied, 5 being very satisfied
 
Generally how satisfied were you with your initial contact with our service? *






 
On the initial contact with the service were you provided with an appointment to meet with the Surgeon, within an acceptable timeframe?  *

     
 
At the first meeting with the Surgeon were you provided with sufficient information to allow you to make informed consent for the surgical procedure to be undertaken? *

     
 
Were you provided with an appointment for your Surgery within an acceptable timeframe following your Pre-Operative appointment? *

     
 
Were the Pre-Operative Forms that you were required to complete prior to Surgery explained to you, and assistance by a staff member provided? *

     
 
Did the Surgeon explain to you medications that would be required to be taken following Surgery? *

     
 
Please answer the following question regarding the delivery of your Surgical Procedure

1 being very unsatisfied, 5 being very satisfied
 
Generally how satisfied were you with your 
Surgical Experience? *






 
Did the staff greet you appropriately and make you feel at ease? *

     
 
Did your surgery take place on time? *

     
 
Were you comfortable with how the nurse went over your surgical details with you and checked your surgical procedure and informed consent *

     
 
Please answer the following regarding your Post-Operative Service

1 being very unsatisfied, 5 being very satisfied
 
Generally were you satisfied with your post-operative care and recovery? *






 
Were you provided with a post-operative appointment one week post-surgery, where the surgery was evaluated, reviewed and your needs assessed accordingly. *

     
 
Were you phoned by nursing staff to review your recovery and provide you with any support that was necessary? *

     
 
Did you have any post-operative complications? *

     
 
Overall, how well do you rate the service at Green Lane Surgical Limited? *






 
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