Default Page Infusion Center Patient Experience Survey How would you rate your ability to contact the Infusion Center? 1 = Very Hard 2 = Hard 3 = Neutral 4 = Easy 5 = Very Easy This field is required How satisfied were you with your care team and how they explained your plan of care? 1 = Very Unsatisfied 2 = Unsatisfied 3 = Neutral 4 = Satisfied 5 = Very Satisfied This field is required Were all of your questions addressed by your care team? Yes No This field is required Was your care team prompt and courteous in their actions? Yes No This field is required Overall, how would you rate your satisfaction with your visit? 1 = Very Unsatisfied 2 = Unsatisfied 3 = Neutral 4 = Satisfied 5 = Very Satisfied This field is required Please feel free to leave any additional feedback here. This field is required This field needs to be a valid value I'd like to be contacted regarding my recent visit. This field is required If you'd like to be contacted, please list your name. This field is required This field needs to be a valid value If you'd like to be contacted, please list your contact information (phone or email). This field is required This field needs to be a valid value