Satisfaction Survey

We hope your visit to Digestive Disease Center of Central New York was a pleasant one. Please help us continue to improve our quality of services by sharing with us how we have or have not met your needs and expectations.

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Date of your procedure

(mm/dd/yyyy)

Please select your doctor*

Please select a rating for each item below

Clear and helpful instructions on what to do and what to expect BEFORE your procedure

The competency and caring of your doctor

The competency and caring of your anesthesia provider

The competency and caring of your nursing staff

Clear and helpful instructions AFTER your procedure

Questions and concerns were answered

Comfort level during your time at our Center

Length of time in our Center, compared to your expectation

Overall how satisfied were you with your visit

How likely are you to recommend the services of this Center

Do you have any additional comments or suggestions? We encourage you to share your thoughts and appreciate hearing from you.

Do not submit any personal health information in this form.

It is important that anyone 50 years old and over should have a screening colonoscopy, earlier if history, health or family issues suggest. As you know first hand, colon cancer can be prevented by having screening colonoscopies. We strongly encourage colon cancer screening measures. Do you know of someone who could benefit from a colon cancer screening colonoscopy? If so, would you provide us with some information and we will contact them. Thank you