 Background: When presenting for elective surgery, patients often do not completely understand the role that the anesthesiology team plays in their care. There have been studies done in foreign countries to understand this subject, however, there is a paucity of data in American patients. In 1999, the American Medical Association AMA found that health literacy was a stronger predictor of a persons health than age, income, education level and race. It is very important that we provide information to patients on the role of anesthesiologists in their care before, during, and after the surgery as it has been shown to improve patient anxiety and overall satisfaction. The investigators approached 100 patients coming to a pre-admission testing area and asked them to complete an anonymous questionnaire is to understand the extent of patients knowledge about our roles and to assess whereprimary care physician, surgeon, or pre-admission testing clinicthey are being provided this information. Based on the results obtained from this survey we made a targeted effort to improve patient understanding of the role of anesthesiologists. Our goal with this teaching tool is to understand the extent of patients knowledge about our roles and to assess the efficacy of our pre-admission testing clinic. Based on the results obtained from our prior study we have designed a self administered tutorial on an electronic tablet that will be provided to willing patients during their pre-admission testing clinic visit. 