Adelaide Anaesthetic Services Patient Experience Survey Where applicable please rate us on a scale of 1 – 5, where 1 is poor and 5 is excellent. Personal InformationDate of surgery MM DD YYYY Today's date MM DD YYYY Name of anaesthetistDr Michael AbbottDr Anthony ArcherDr Tony BarnardDr Don BarrieDr David BednarczukDr Andrew BowieDr David BullenDr Daryl CattDr Roy ChestersDr Charles CleggDr Peter DevonishDr Prem DhillonDr Scott DouglasDr Nikki DysonDr Nicholas EblenDr Islam ElhalawaniDr Yasmin EndlichDr Peter FranklynDr Erica HewitsonDr Liz IrwinDr Nathan JuddDr Zoe LaganaDr Paul LambertDr Christie LangDr Shannon LaycockDr Min Qi LeeDr Rebecca LewickiProf Guy LudbrookDr Scott MurrayDr Kar Peng NgDr Kar Woh NgDr Shona OsbornDr Preeti Anand KrishanDr Jonathon PerksDr Anand RajbhojDr Varjeet (Bob) SinghDr John StapletonDr Kate StephensDr Chee TeohDr Tim TrottDr Martin TysonDr Tom VaughanDr Ken WongDr Chris LavisDr Gary ThamDr Mark UptonAge18-2425-3435-4445-5465-7475+GenderMaleFemaleOtherExperience SurveyDid you have pain before surgery?YesNoWas your anaesthetist involved in managing your pain before surgery?YesNoHow well do you think we managed your pain?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Did you feel like you had time to ask your anaesthetist questions before your surgery?YesNoHow well were those questions answered?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Did you understand the information about your anaesthetic that was given to you before your surgery?YesNoHow useful did you find the information?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Did you feel like your anaesthetist listened to you?YesNoAre there any comments you would like to make in regards to the question above?Did you feel rushed?YesNoAre there any comments you would like to make in regards to the question above?Did you feel scared or anxious before your surgery?YesNoHow well did your anesthetist manage your fear and anxiety?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Did your anesthetist explain to you how you might feel after the surgery?YesNoAre there any comments you would like to make in regards to the question above?Did you feel nauseated and/or vomit immediately after the surgery?YesNoHow well was it treated?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Were you in pain after the operation?YesNoHow effective was your pain treatment?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Were you cold or shivering after the surgery?YesNoHow well was it managed?123451 being poor and 5 being excellentAre there any comments you would like to make in regards to the question above?Did you have a positive experience?YesNoPlease tell us about your experienceDo you have any suggestions about how your care could have been improved?
