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MENU
MENU
About
Our Story
Hospital Affiliations
Surgery Center
Careers
Providers
Physicians
Advanced Practice Providers
Men
Cancer Care
Cystoscopy
Enlarged Prostate / BPH
Epididymitis
Erectile Dysfunction
Extracorporal Shockwave Lithotripsy (ESWL)
Hematuria
Hemorrhoids
Kidney Stones
Low Testosterone
Peyronie’s Disease
Prostatic Artery Embolization (PAE)
Prostatitis
Pyelonephritis (Kidney Infection)
Testicular Torsion
TURBT
Ureteroscopy
Urinary Incontinence
Urethral Stricture
Urinary Tract Infection
Varicocele
Vasectomy
Women
Cancer Care
Hematuria
Hemorrhoids
Interstitial Cystitis & Painful Bladder Syndrome
Kidney Stones
Overactive Bladder
Pelvic Organ Prolapse
Pyelonephritis (Kidney Infection)
Sexual Health
Urinary Incontinence
Urinary Tract Infection
Uterine Fibroid Embolization (UFE)
Pediatrics
Patient Resources
Patient Portal
Patient Forms
Pay Your Bill
Request for Medical Records
Chronic Care Management
FMLA/Disability Forms
HIPAA / Privacy Practices
Insurances Accepted
News / Blog
UTI Clinic
IR Center
Telehealth
Locations
Contact
Post-Surgical Satisfaction Survey
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Post-Surgical Satisfaction Survey
Name (optional)
First
Last
Zip Code
Who was your physician today?
Bailey
Cung
Danneberger
Emanuel
Gonzalez
Graziano
Heavner
Holton
Krejci
Lian
McDermott, Jr
McDermott, Sr
McDonough
McGeagh
Patel
Rock
Schwartz
Sukhu
Zhou
Zhu
Where was your surgery?
Annapolis
Greenbelt
Were you satisfied with your physician’s care today?
Excellent
Good
Satisfactory
Below Average
Poor
How would you rate the care and courtesy of the nursing staff?
Excellent
Good
Satisfactory
Below Average
Poor
How courteous, warm and friendly was the front office staff?
Excellent
Good
Satisfactory
Below Average
Poor
How likely are you to recommend us to a friend or family member?
Very likely
Somewhat likely
Likely
Somewhat unlikely
Very unlikely
How would rate your overall experience at our surgery center?
Excellent
Good
Satisfactory
Below Average
Poor
What did you like best about our practice?
How can we improve?
How can we help you?
Request an Appointment