{"id":2553,"date":"2024-05-14T18:42:45","date_gmt":"2024-05-14T18:42:45","guid":{"rendered":"https:\/\/surgery.pricemds.com\/?page_id=2553"},"modified":"2024-05-14T19:48:20","modified_gmt":"2024-05-14T19:48:20","slug":"pricemds-surgery-feedback","status":"publish","type":"page","link":"https:\/\/surgery.pricemds.com\/es\/pricemds-surgery-feedback\/","title":{"rendered":"PriceMDs Surgery Feedback"},"content":{"rendered":"<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2546 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2546\" data-uid=\"6adadfd67fcdb\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2546\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2546 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2546\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6adadfd67fcdb\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Feedback Survey: PriceMDs Bundled Surgery and Imaging Solution<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6adadfd67fcdb-label\"><span id=\"forminator-radiogroup-radio-1-6adadfd67fcdb-label\" class=\"forminator-label\">Based on your experience, would you utilize the PriceMDs program again?<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6adadfd67fcdb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6adadfd67fcdb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6adadfd67fcdb\" id=\"forminator-field-text-5_6adadfd67fcdb-label\" class=\"forminator-label\">If &quot;No&quot; please specify<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6adadfd67fcdb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6adadfd67fcdb-label\"><span id=\"forminator-radiogroup-radio-2-6adadfd67fcdb-label\" class=\"forminator-label\">Please rate your PriceMDs Surgical Nurse Navigator<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Excellent\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Excellent<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Good\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Good<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Average\"><input type=\"radio\" name=\"radio-2\" value=\"Average\" id=\"forminator-field-radio-2-3-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Average<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Below Average\"><input type=\"radio\" name=\"radio-2\" value=\"Below-Average\" id=\"forminator-field-radio-2-4-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Below Average<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Poor\"><input type=\"radio\" name=\"radio-2\" value=\"Poor\" id=\"forminator-field-radio-2-5-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Poor<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6adadfd67fcdb-label\"><span id=\"forminator-radiogroup-radio-3-6adadfd67fcdb-label\" class=\"forminator-label\">Please rate the facility where you received your procedure\/imaging<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Excellent\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Excellent<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Good\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Good<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Average\"><input type=\"radio\" name=\"radio-3\" value=\"Average\" id=\"forminator-field-radio-3-3-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Average<\/span><\/label><label id=\"forminator-field-radio-3-label-4\" for=\"forminator-field-radio-3-4-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Below Average\"><input type=\"radio\" name=\"radio-3\" value=\"Below-Average\" id=\"forminator-field-radio-3-4-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-3-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Below Average<\/span><\/label><label id=\"forminator-field-radio-3-label-5\" for=\"forminator-field-radio-3-5-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Poor\"><input type=\"radio\" name=\"radio-3\" value=\"Poor\" id=\"forminator-field-radio-3-5-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-3-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Poor<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6adadfd67fcdb-label\"><span id=\"forminator-radiogroup-radio-4-6adadfd67fcdb-label\" class=\"forminator-label\">Please rate the surgeon\/technician who performed your procedure\/imaging<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Excellent\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Excellent<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Good\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Good<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Average\"><input type=\"radio\" name=\"radio-4\" value=\"Average\" id=\"forminator-field-radio-4-3-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Average<\/span><\/label><label id=\"forminator-field-radio-4-label-4\" for=\"forminator-field-radio-4-4-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Below Average\"><input type=\"radio\" name=\"radio-4\" value=\"Below-Average\" id=\"forminator-field-radio-4-4-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-4-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Below Average<\/span><\/label><label id=\"forminator-field-radio-4-label-5\" for=\"forminator-field-radio-4-5-6adadfd67fcdb\" class=\"forminator-radio forminator-radio-inline\" title=\"Poor\"><input type=\"radio\" name=\"radio-4\" value=\"Poor\" id=\"forminator-field-radio-4-5-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-4-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Poor<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6adadfd67fcdb-label\"><span id=\"forminator-radiogroup-radio-5-6adadfd67fcdb-label\" class=\"forminator-label\">Did you acquire a post-procedure infection?<\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6adadfd67fcdb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6adadfd67fcdb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6adadfd67fcdb\" id=\"forminator-field-text-6_6adadfd67fcdb-label\" class=\"forminator-label\">If &quot;Yes&quot; please explain<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6adadfd67fcdb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6adadfd67fcdb-label\"><span id=\"forminator-radiogroup-radio-6-6adadfd67fcdb-label\" class=\"forminator-label\">Did you have an unplanned post-procedure hospital admission?<\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6adadfd67fcdb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-6\" value=\"one\" id=\"forminator-field-radio-6-1-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6adadfd67fcdb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"two\" id=\"forminator-field-radio-6-2-6adadfd67fcdb\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6adadfd67fcdb\" id=\"forminator-field-text-7_6adadfd67fcdb-label\" class=\"forminator-label\">If &quot;Yes&quot; please explain<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_6adadfd67fcdb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6adadfd67fcdb\" id=\"forminator-field-textarea-1_6adadfd67fcdb-label\" class=\"forminator-label\">Please share any additional feedback or comments here<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6adadfd67fcdb\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\"><span>Submit<\/span><span aria-hidden=\"true\"><\/span><\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"444a8ab443\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/2553\" \/><input type=\"hidden\" name=\"form_id\" value=\"2546\"><input type=\"hidden\" name=\"page_id\" value=\"2553\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/surgery.pricemds.com\/es\/pricemds-surgery-feedback\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_11\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_11\" type=\"text\" name=\"input_11\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"disabled","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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