Physician Directory
Careers
About Omega
Welcome from the CEO
Our Goal
Take the Tour
Accreditations
Physician Directory
Patient Testimonials
Surgical Specialties
Breast Surgical Oncology
General
Hand
Neurosurgery
Orthopedics
Orthopedic Spine
Pain Management
Plastic and Reconstructive
Podiatry
Urology
Centers of Care
Hand Surgical Associates
Orthopedic Specialist
Breast Reconstruction
International Spine Institute
Patient Information
Scheduling Your Surgery
Pre-Admission Testing
About Your Surgery
Visitor Information
Patient Satisfaction Survey
Patient Authorization to Disclose Health Information
News
Contact Us
Partner with Omega Hospital
Careers
Why Join Our Team
Patient Satisfaction Survey
Tell Us About Your Experience
Patient Name (optional)
First
Last
Physician
*
Date of Service
*
Date Format: MM slash DD slash YYYY
Reason for Visit
*
Inpatient Surgery
Outpatient Surgery
Receptionist
*
Excellent
Good
Fair
Poor
Does Not Apply
Friendliness / courtesy of Receptionist
Phone calls answered promptly
Scheduling
*
Excellent
Good
Fair
Poor
Does Not Apply
Friendliness / courtesy of Schedulers
Knowledge of pre-op information
Answering questions effectively
Pre-operative Testing
*
Excellent
Good
Fair
Poor
Does Not Apply
Timeliness of pre-op testing
Friendliness / courtesy of Radiology Tech
Friendliness / courtesy of Laboratory Tech
Friendliness / courtesy of Cardiology Tech
Knowledge/skill of Technician
5th Floor Nursing
*
Excellent
Good
Fair
Poor
Does Not Apply
Friendliness / courtesy of Nurses
Knowledge / skill of Nurses
Responsiveness of Nurses to your needs
Discharge instructions clearly explained
Surgery Nurses/Staff
*
Excellent
Good
Fair
Poor
Does Not Apply
Friendliness / courtesy of Surgery Staff
Skill of Surgery Nurses / Staff
Responsiveness of Nurse to your needs
Explanation of procedures
Dietary/ Serving Staff
*
Excellent
Good
Fair
Poor
Does Not Apply
Friendliness / courtesy of Serving Staff
Inpatient - Quality of Food
Outpatient - Quality of Snack & Beverage
Dietary needs met
Hospital Accommodations
*
Excellent
Good
Fair
Poor
Does Not Apply
Cleanliness of hospital room
Overall comfort
Omega Hospital, LLC
*
Excellent
Good
Fair
Poor
Does Not Apply
Overall Satisfaction with Omega Hospital, LLC
Additional Comments / Suggestions:
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Δ
About Omega
▼
Welcome from the CEO
Our Goal
Take the Tour
Accreditations
Physician Directory
Patient Testimonials
Surgical Specialties
▼
Breast Surgical Oncology
General
Hand
Neurosurgery
Orthopedics
Orthopedic Spine
Pain Management
Plastic and Reconstructive
Podiatry
Urology
Centers of Care
▼
Hand Surgical Associates
Orthopedic Specialist
Breast Reconstruction
International Spine Institute
Patient Information
▼
Scheduling Your Surgery
Pre-Admission Testing
About Your Surgery
Visitor Information
Patient Satisfaction Survey
Patient Authorization to Disclose Health Information
News
Contact Us
▼
Partner with Omega Hospital
Careers
Why Join Our Team