• Fleming Island Surgery Center

    Thank you for completing this important questionnaire regarding your visit. Your feedback is very important in helping us continue to provide the highest possible level of care and comfort.

  • Instructions: Please rate your agreement with the following statements based on your recent surgical experience. We welcome your comments as they help us learn about your experience and care.

  • Prior to My Procedure

  • The instructions I received prior to procedure were helpful and easy to understand.*
  • The Clerks and Receptionists were courteous and helpful.*
  • My waiting time prior to my procedure was reasonable and as expected.*

  • Nursing Care and Communication

  • The Nursing Staff was courteous and friendly.*
  • The Nursing Staff was concerned for my comfort.*
  • The nursing staff explained things in a way that I could understand.*

  • Physician Care & Communication

  • My Physician was courteous and friendly.*
  • My Physician spent adequate time with me explaining my procedure and answering my questions.*
  • My Physician explained things in a way that I could understand.*
  • I will recommend my provider to my family and friends.*

  • My Recovery in the Facility

  • The Recovery Staff was courteous and friendly.*
  • Adequate time was allowed for my recovery at the facility.*

  • Discharge Instructions & Home Follow-up

  • My discharge instructions were clear and helpful.*
  • When I was contacted at home, the Clinical Staff was concerned for my progress and comfort.*

  • Your Experience

  • My privacy was respected at all times.*
  • My family/friends were adequately informed throughout my visit.*
  • The facility was clean.*
  • I felt safe while at the facility.*

  • Your Overall Impressions

  • Overall, I am very confident in the care I received at your facility.*
  • I will recommend your facility to my friends and family.*

  • About You

  • Were you the patient?*
  • Patient's Gender?*
  • Patient's Age Group?*
  • If you would like to be contacted to discuss any negative responses you may have provided, please select 'Yes', and provide full contact information below.*
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  • If you would like your survey responses to remain anonymous to the procedure center, please select "Yes" below.*

  • If you have any medical questions or concerns, please contact your Physician's office at 904-398-7205. Thank you for participating in the Jacksonville Center for Endoscopy Patient Satisfaction Survey.

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