Welcome to Wentworth Surgery Center, LLC.
Welcome to Wentworth Surgery Center, LLC.
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6 Works Way
Somersworth, NH 03878
Tel #: 603-285-9288
Fax#: 603-740-4639
About Us  |   Our Physicians   |   Patient Information  |   Health Information   |   Booking Form   |   Survey   |   Directions
 
It is our goal to provide you and/or your family member the best care possible. You may assist us in improving our services by completing this questionnaire. Your answers will be kept completely confidential.

(1 POOR - 5 OUTSTANDING)
Procedure Date mm/dd/yy
Name
Address
City
State Zipcode
Telephone
Email Address
 
Comments
1.
  What was your overall impression on the outside of the building?
 
2.
  What was your overall impression on the inside of the building?
 
3.
  Was the front office staff friendly, courteous and helpful?
 
4.
  Was the clinical staff friendly, courteous and helpful?
 
5.
  How satisfied were you with your pre-operative instructions?
 
6.
  How satisfied were you with your post-operative instructions?
 
7.
  How satisfied were you with the care you received from your anesthesiologist?
 
8.
  How satisfied were you with the care you received from your surgeon?
 
9.
  How satisfied were you with the overall level of care you received?
(YES or NO or N/A DID NOT APPLY)
10.
  Did you receive a call prior to your visit from our billing staff?
 
11.
  Were you notified of any delays prior to your arrival?
 
12.
  Upon discharge, did you feel that all of your questions and/or concerns were answered?
 
13.
  Did you receive a call from our clinic within 3 business days post-procedure?
 
14.   If yes, did the clinical staff member answer all of your questions?
 
15.   Did you receive a printed set of discharge instructions?
 
16.
  Would you recommend our center to family and/or friends?
 
17.
  Would you return to our center for future care if needed?
 
18.   May we call you if we have any additional questions?

   

Nothing found within this website should be construed as medical advice or treatment recommendations by WSC. This information is not a substitute for a consultation for any symptoms that you may have. Note that you should consult your physician for medical advice.
 
In the case of bad weather the facility will remain open unless the governor shuts down the state or the facility does not have power.
 
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