Patient Satisfaction Survey

NYU Medical Center Home

NYU School of Medicine Home

Research Home

Administration

CONTACT

DIRECTORY

>	FIND A DOCTOR
>	News and Events
>	Clinical Trials
>	Seminars
>	Prepare for Surgery, Heal Faster


		E-mail Page

		Print Page

		Calendars

NYU Hospitals Center
Day Surgery Center, Tisch Hospital 10th Floor North
560 First Avenue,
New York, N.Y. 10016
(212)263-7213
email: daysurgery@med.nyu.edu
www.nyudaysurgery.org

Dear Sir/Madam:

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.

First Name:
Last Name:
Date of Surgery:
Was the reception staff courteous and informative?	yes	no
Was the physical facility adequate to your needs?	yes	no
Did the nursing staff provide you with adequate care and correct pre-op recovery and post-op information?	yes	no
*FOR PARENTS OF PEDIATRIC PATIENTS ONLY*
Did our Department meet the needs of your child?	yes	no
Were there any problems that you would like to discuss or bring to our attention?	yes	no
Additional Comments: (Please be specific and use another sheet of paper if necessary)

Send your form - print out document and fax to 212-263-7646.

We 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.

Sincerely,
Day Surgery Staff

Day Surgery Department
T: (212) 263-7213
F: (212) 263-7646
email: daysurgery@med.nyu.edu