1. A satisfaction of the colonoscopic procedure
least 1 2 3 4 5 6 7 8 9 10 most
2. A satisfaction of the anesthetic technique
least 1 2 3 4 5 6 7 8 9 10 most
3. Do you remember the start of the procedure when the scope was inserted?
Yes No
4. Do you remember being awake during the procedure?
Yes No
5. Do you remember the end of the procedure when the scope was removed?
Yes No
6. Do you remember leaving the procedure room?
Yes No
7. Do you think you can resume your normal activities today?
Yes No
8. How much discomfort or pain did you experience during the procedure?
Mild Moderate Severe
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