Monroe Surgical Hospital

QUESTION	1	2	3	4	5

Please respond to the following statements about how we provided care for you as a valued guest.	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
ENTRY
"Someone greeted us when we arrived..."
"The admitting process was organized and planned..."
"The staff identified themselves, where they worked, and asked if they could help..."
"I was comfortable and had adequate space to sit..."
COMMUNICATION
"I was provided adequate directions and information about the hospital..."
"Someone spoke to us and explained wait time and any delays in treatment..."
"I was kept informed about my family, friend, and/or loved one..."
"The staff was eager and willing to assist me if needed..."
"The physician spoke to us in a timely manner after the procedure was completed..."
ENVIRONMENT
"The hospital interior is clean..."
"The hospital exterior is clean..."
"I was informed of the location of coffee, vending machines and snacks..."
DISCHARGE
"My family, friend, and/or loved one was given adequate instructions..."
"A staff member escorted us when we left..."
OVERALL IMPRESSION
"The hospital staff was professionally, tastefully, and appropriately dressed for the job..."
"My overall satisfaction with Monroe Surgical Hospital is..."

Please use ths space to provide any additional comments regarding your time with us. Your comments will help us improve our services in the future.
COMMENTS:
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Thank you for taking time to let us know how well we cared for you. Administration
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