MONROE SURGICAL HOSPITAL GUEST SURVEY
QUESTION
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Please respond to the following statements about how we provided care for you as a valued guest.
Strongly
Disagree
Disagree
Undecided
Agree
Strongly
Agree
N/A
CUSTOMER WAITING
"I was able to get an appointment that was convenient for my needs..."
"I received timely treatment at the hospital but never felt rushed..."
"The staff kept me informed during any delays in treatment..."
PROVIDING DIRECTIONS
            
"I was provided adequate directions and information about the location of the hospital..."
"I was able to find my way around in the facility and the staff assisted me with directions..."
FIRST IMPRESSIONS & PERSONAL APPERANCE
            
"The hospital staff was professinally, tastefully, and appropriately dressed for the job..."
PRIVACY
            
"I felt like all of my personal information and information regarding my care was kept confidential..."
"The staff respected my privacy..."
INFORMATION AND EDUCATION
            
"I was provided information that helped me understand my procedure an what to expect at the hospital..."
I was provided information and education to assist after my procedure was complete..."
"The staff wanted to help me understand and listened to my needs..."
TELEPHONE ETIQUETTE
            
"The telephone was answered in a reasonable amount of time..."
"The staff identified who they are, where they work, and asked if they could help...."
"I never felt like I was on hold for long or transferred without getting assistance..."
"My overall satisfaction with Monroe Surgical Hospital was..."
PAIN MANAGEMENT
           
"I was given instructions and understood how to rate my pain prior to my procedure"
"After my procedure I feel that my pain and/or discomfort was managed efficiently"
Please use ths space to provide any additional comments regarding your time with us. You r comments will help us improve our services in the future.
COMMENTS:
Would you like to be contacted regarding any of your comments? (check if yes)
Name:
Telephone
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Email
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Date:

Thank you for taking time to let us know how well we cared for you.

Administration