Caller Satisfaction Survey

1. I have called the Blue Ridge Poison Center for a poison emergency or for poison information. (If no, please stop the survey here. Thank you.)

I have called the Blue Ridge Poison Center for a poison emergency or for poison information. (If no, please stop the survey here. Thank you.) Yes

2. How did you learn about the Blue Ridge Poison Center?

How did you learn about the Blue Ridge Poison Center? a. Phone Book

b. 911

c. Operator

d. Health Department

e. Health Fair/School

f. Talk/Presentation

g. Sticker/Magnet

h. Emergency Room

i. Doctor

j. Other

k. Not applicable

3. Where did you get the phone number for the poison center?

Where did you get the phone number for the poison center? Phone Book

a. 911

b. Operator

c. Health Department

d. Health Fair/School

e. Talk/Presentation

f. Sticker/Magnet

g. Emergency Room

h. Doctor

i. Other

j. Not applicable

4. Your call was answered in a timely manner.

	Definitely yes		Neutral		Definitely no
Rate your experience	Your call was answered in a timely manner. Rate your experience Definitely yes		Neutral		Definitely no

5. The Nurse you spoke to was courteous and treated you with respect.

	Definitely yes		Neutral		Definitely no
Rate your Experience	The Nurse you spoke to was courteous and treated you with respect. Rate your Experience Definitely yes		Neutral		Definitely no

6. The Nurse was concerned about the patient’s well-being.

	Definitely yes		Neutral		Definitely no
Rate your experience.	The Nurse was concerned about the patient’s well-being. Rate your experience. Definitely yes		Neutral		Definitely no

7. The Nurse answered your questions in a way you understood.

	Definitely yes		Neutral		Definitely no
Rate your experience.	The Nurse answered your questions in a way you understood. Rate your experience. Definitely yes		Neutral		Definitely no

8. The information or advice you were given was helpful to the patient.

	Definitely yes		Neutral		Definitely no
Rate your experience.	The information or advice you were given was helpful to the patient. Rate your experience. Definitely yes		Neutral		Definitely no

9. Overall how satisfied were you with your contact with the poison center?

	Very satisfied		Neutral		Very dissatisfied
Rate your experience.	Overall how satisfied were you with your contact with the poison center? Rate your experience. Very satisfied		Neutral		Very dissatisfied

10. Do you have any comments about your call to the poison center?

Do you have any comments about your call to the poison center?

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