We are pleased to have been of service to you during your recent visit
to the Day Surgery Department of the New York University Medical Center.
We would like to ask you to provide us with some information concerning
your experience as a patient here.
The following questions concern the quality of the facility and the care
rendered. Your responses will be given individual attention and used for
the improvement of quality assurance in our department.
the reception staff courteous and informative?
the physical facility adequate to your needs?
the nursing staff provide you with adequate care and
correct pre-op recovery and post-op information?
PARENTS OF PEDIATRIC PATIENTS ONLY*
our Department meet the needs of your child?
there any problems that you would like to discuss or
bring to our attention?
Comments: (Please be specific
and use another sheet of paper if necessary)
Send your form - print out
document and fax to 212-263-7646.
thank you for choosing NYU Day Surgery Department
for your medical care and hope we have met your
expectations of an institution that provides quality
care to their patients. Your responses are important.
We look forward to hearing from you.