Breast Patient Satisfaction Survey 2015-2016

How satisfied are you with the following:

	Not at all Satisfied	Slightly Satisfied	Somewhat Satisfied	Very Satisfied	Extremely Satisfied
1. the courtesy, respect, and concern for your privacy by TCCC staff?

2. the promptness with which your breast cancer was diagnosed?

3. the opportunity to participate in the decision making process of surgical options for your breast surgery?

4. the cosmetic results following your breast reconstruction (if applicable)?

5. the education you were provided about breast cancer and its treatment?

6. the clarity of instructions you were provided on how to care for yourself at home?

7. the education you were provided about the potential benefits and harm of radiation therapy?

8. the education you were provided about the potential benefits and harm of chemotherapy?

9. the education you were provided about the potential benefits and harm of hormonal therapy?

10. the promptness of TCCC staff in handling your concerns/queries?

11. the experience with the Breast Patient Navigator (Veronica)?

12. the coordination of treatment you recieved for your breast cancer treatment overall?

13. How likely are you to recommend this center to family members or friends?

Comments/Suggestions

I would like to applaud the following individual(s):

I would offer the following suggestions for improvement:

Name

Date