Patient Experience Survey Step 1 of 5 - General Details 0% Thank you for your participation in this survey. Your anonymous feedback is greatly valued and may improve patient safety and care.Date of Surgery* DD MM YYYY Your Anaesthetist*Please select your anaesthetistDr. Kwok Fui HorDr. Anthony BrooksDr. Michael D'SouzaDr. Anna HaywardDr. Rebecca KellyDr. Fiona McManusDr. Andrew TonerDr. Hugh WelchDr. Moira WestmoreGenderMaleFemaleAge*15 or younger16-2425-3435-4445-5455-6465-7475 or older Did you have pain before surgery?*NoYes, but it was managed by another health professionalYes, my anaesthetist was involved in the pain managementHow well do you think we managed your pain?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Did you feel like you had time to ask your anaesthetist questions before your surgery?*YesNoHow well were those questions answered?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345 Did you understand the information about your anaesthetic that was given to you before your surgery?*YesNoHow useful did you find the information?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Did you feel like your anaesthetist listened to you?*YesNoDid you feel rushed?*YesNoDid you feel scared or anxious before your surgery?*YesNoHow well did your anesthetist manage your fear and anxiety?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Did your anesthetist explain to you how you might feel after the surgery?*YesNo Did you feel nauseated and/or vomit immediately after the surgery?*YesNoHow well was your nausea/vomiting treated?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Were you in pain after the operation?*YesNoHow effective was your pain treatment?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Were you cold or shivering after the surgery?*YesNoHow well was it managed?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345 If you had a positive experience, please tell us about it.If you had a negative experience, please tell us about it.Do you have any suggestions about how your care could have been improved?EmailThis field is for validation purposes and should be left unchanged.