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Patient Satisfaction Survey (PREVIEW)

Please take 5 minutes to complete these questions. Completing the form is voluntary, all answers are anonymous. Your information helps us improve our service to future patients.

What level of risk did you think you were taking having an anaesthetic?

Did you experience any nausea (feeling sick) after your operation?

Did you experience vomiting or dry retching after your operation?

Once

Twice

Three times or more

If you had general anaesthetic, were you conscious at all during your operation?

Yes

Not applicable

Please specify Note: Your anaesthetist has no way of identifying you from this survey. You can contact your anaesthetist directly. Call Anaesthesia Associates on 03 365 3777 for further information.

If you had a spinal anaesthetic, did you feel any pain during your operation?

Yes

Not applicable

Please specify Note: Your anaesthetist has no way of identifying you from this form. Please contact your anaesthetist directly to discuss further.

Did your anaesthetist address any concerns you had regarding your anaesthetic?

How would you rate the management of your pain after the operation?

Did you feel confident in the ability of your anaesthetist?

Did you feel nervous having this anaesthetic?

Would you recommend your anaesthetist to a good friend?

How would you rate the amount of information your anaesthetist gave you?

How gentle was your anaesthetist?

How would you rate your anaesthetist’s technical skills? (Needles, drips, etc.)

How friendly was your anaesthetist?

How would you rate the amount of time you had with your anaesthetist?

If you identify as Māori, were your cultural needs met?

Yes

Not applicable

How would you rate your anesthetist overall?

Additional comments

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