1) How long have you been using the services of this hospital? 
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Please tell us how satisfied you are with each of the following.
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2) How satisfied are you with the surgical nurses? 
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3) General Nursing Staff? 
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4) Laboratory Services? 
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5) Patient rooms? 
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6) Cleanliness of the doctor's prep rooms? 
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7) Availability of surgical suites? 
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8) Cleanliness of the surgical suites? 
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9) Out-Patient testing facilities? 
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10) Radiology facilities? 
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11) Overall, how satisfied are you with the technology available at this hospital? 
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12) Overall, how satisfied are you with the services provided at this hospital? 
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13) Overall, how satisfied are you with the facilities provided by this hospital? 
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14) What, if anything, can we do to improve hospital services or facilities?  
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15) Would you recommend this hospital to other practicing physicians? 
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