Surgery Survey

Parents/Guardians:

Thank you for choosing Children’s Healthcare of Atlanta for your child’s care. Your child recently had a surgical procedure. We are interested in how your child is feeling since his surgery.

The Department of Surgery at our hospital is a member of the American College of Surgeons’ Pediatric National Surgical Quality Improvement Program. We are gathering information on the health and outcomes of our patients after surgery. Your child’s health and your feedback are important to us.

Please take a few minutes to answer the questions below. Click submit after you have completed the form. Your and your child’s identity will be kept confidential. We greatly appreciate your feedback.

Please answer first:
If NO, you have finished this form. Please click submit below.
If YES, please answer the following questions:

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