Specialty Hospital Satisfaction Survey

1. General Information

 
The following short survey will ask several questions about the care that you received while in the hospital and after discharge. Your feedback helps us to improve program quality and the processes through which care is delivered. We appreciate your comments and respect your opinions. Please answer the questions honestly, and provide additional comments at the end of the survey. Thank you.
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1. Please choose the month/year in which your child was discharged from the hospital
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2. How old was your child (in years) when he/she was discharged from the hospital (about 3 months ago)?
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3. Please choose the Hospital where you recently were a patient
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4. Please choose the category of service you received while in the hospital (choose only one)
 20% 
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