Longmont Anesthesia Associates Post-op Questionnaire

Please fill in the following information and click on the Submit button below:

What type of surgery did you have?

What type of anesthetic did you have?

Who was your anesthesiologist?

Please rate your anesthesia experience:
1=strongly agree 2=somewhat agree 3=neutral or no opinion 4=somewhat disagree 5=disagree

My anesthesiologist was compassionate and listened to my concerns:
1strongly agree 2 3 4 5disagree

My anesthesiologist explained the type of anesthesia used:
1strongly agree 2 3 4 5disagree

My anesthesiologist answered my questions about the anesthesia:
1strongly agree 2 3 4 5disagree

I would recommend Longmont Anesthesia Associates to other patients:
1strongly agree 2 3 4 5disagree

Did you have any problems or concerns with your anesthetic?

Was your anesthetic a positive experience? Would you choose this type of anesthetic again?

Do you have any other comments about your entire surgical experience?

Please click to send the information to us.