Saint Francis GI Endoscopy Center
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Welcome to Saint Francis GI Endoscopy LLC. It is our goal to provide you and/or your family member the best care possible. You may assist us in improving our services by completing this questionnaire. Your answers will be kept completely confidential.

Procedure Date mm/dd/yy
Name
Address
City
State Zipcode
Telephone
Email Address
 
Comments
1.
  Were your pre-admit instructions given in a manner
that you understood?
 
2.
  Were your financial arrangements discussed courteously and to your satisfaction?
 
3.
  How long you waited when you checked in?
 
4.
  Were the nurses responsive to your medical and personal needs?
 
5.
 

Have you observed your healthcare provider perform hand hygiene?

 
6.
  Was your physician courteous, respectful,
sensitive and friendly?
 
7.
  Did you and your family find the atmosphere
comfortable and pleasing?
 
8.
  Were your discharge and follow up instruction explained clearly?
 
9.
  Did the Endoscopy Center personnel appear
competent and professional?
 
10.
  Did you feel you were made to wait too long at any time?
    If so, When?:  
 
11.
  Would you consider returning to our facility to
have this procedure again?
 
12.
  Overall rating of your visit?
 
13.
  May we call you if we have additional questions?

   
Nothing found at this website should be construed as medical advice or treatment recommendations by SFGIE. This information is not a substitute for consultation for any symptoms you may have. Note that you should consult your gastroenterologist, colorectal surgeon or family physician for medical advice.
 
In the case of bad weather the facility will remain open unless the governor shuts the state down or the facility does not have power.
 
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