IV Safety Team Patient Survey

Tell us how we're doing!

So we may continue to provide the very best customer service, please rate the following statements using the scale listed below.

	Very poor	Poor	Fair	Good	Very good
Did we address your questions/concerns?	So we may continue to provide the very best customer service, please rate the following statements using the scale listed below. Did we address your questions/concerns? Very poor	Poor	Fair	Good	Very good
Did we address your pain?	Did we address your pain? Very poor	Poor	Fair	Good	Very good
Courtesy of person performing PICC procedure:	Courtesy of person performing PICC procedure: Very poor	Poor	Fair	Good	Very good
Overall experience:	Overall experience: Very poor	Poor	Fair	Good	Very good

Other comments:

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