Emergency Department Patient Experience

ED Visit Survey

 
Are you male of female?
What is your age?
Is your child male or female?
What is the age of your child?
*
Why did you visit the emergency room?
*
How long did you wait in the waiting area to be seen by a staff member?
*
How long did you wait in the exam room to be seen by a physician or nurse practitioner?
*
How satisfied were you with the ease of registration?
*
How satisfied were you with the friendliness of the registration staff?
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