Pay My Bill
John Smith, MD
Emergency Services at North
We are pleased that you chose our award-winning Joint Replacement Center for your total hip/knee surgery. In order to assess the care rendered to our patients and the outcomes of their surgery, we ask that you complete the following survey prior to your procedure.
INSTRUCTIONS: This survey asks for your view about your hip. This information will help us keep track of how you feel about your hip and how well you are able to do your usual activities.
Answer every question by checking the appropriate box. Please check only one box for each question. If you are unsure about how to answer a question, please give the best answer you can.
Thank you for your participation in this survey. Your efforts assist in the service we provide and the outcomes of our patients. If you would like to know more on how this survey helps to improve patient care, feel free to contact the Rehabilitation Services Department at 954-786-5102