We strive to give our patients a safe, cost-effective anesthetic and provide the best in perioperative care. Please fill out the following questionnaire to provide us with your view of the services we provided. We use this information to track our quality improvement. You do not need to enter your name.
If you would like to print out this survey please click the printer icon at the bottom of the page and mail the completed survey to:
Winchester Anesthesiologist Inc.
Attention: Dr. Charles Henderson
PO Box 3297
Winchester, Virginia 22604
Patient Satisfaction Survey
Please answer the following questions related to Anesthesia-related discomfort
Please select date by clicking on the calendar
For patients who received a nerve block for post-operative pain control: