Joint Class Survey

Clarity of instructions for your pre-operative test scheduling? Excellent Very Good Good Fair Poor

The class video supports our goal of preparing you for surgery through recovery? Excellent Very Good Good Fair Poor

The material was organized clearly for ease of learning? Excellent
Very Good
Good
Fair
Poor

The class was presented in terminology that you could understand? Excellent
Very Good
Good
Fair
Poor

Overall quality of education? Excellent Very Good Good Fair Poor

Nurse Excellent Very Good Good Fair Poor N/A

Pharmacist Excellent Very Good Good Fair Poor N/A

Physical Therapist Excellent Very Good Good Fair Poor N/A

Case Manager/Discharge Planner Excellent Very Good Good Fair Poor N/A

What is the likelihood of your recommending NorthShore University HealthSystem Total Joint Class Excellent Very Good Good Fair Poor

Is there anything we could have done to improve you or your family member's video experience?

Please fill out the information below so we can alert your surgeon that you have completed the class video.

Name:

Phone Number:

Email Address:

Surgeon's Name:

NorthShore Orthopaedic & Spine Institute