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Questions marked with an * are required Exit Survey
 
 
What is your gender?
 
Male
 
Female
 
 
 
* Please select your age group:
 
18-20
 
21-23
 
24-26
 
27+
 
Rather not say
 
 
 
* Have you ever undergone an outpatient surgery or procedure, such as a tonsillectomy, ear tube placement, wisdom teeth removal, etc.?
 
Yes
 
No
 
Don't remember
 
 
 
* How many outpatient surgeries/procedures have you undergone?
 
0
 
1
 
2
 
3+
 
Unsure
 
 
 
* Out of the outpatient surgeries, how many used anesthesia?
 
0
 
1
 
2
 
3+
 
Never undergone an outpatient surgery
 
 
 
* Do you think anesthesia is a better replacement for numbing medication?
 
Yes
 
No
 
Unsure
 
 
 
After an outpatient surgery using anesthesia, how quickly were you allowed to leave the hospital?
 
0-30 min.
 
1-2 hrs.
 
3-4 hrs.
 
Unsure
 
Overnight stay
 
Never undergone an outpatient surgery
 
 
 
* Do you think anesthesia is useful in the outpatient filed? Why or why not?
 
Yes
 
No
 
Why or why not?