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* 1. Which facility did you stay at?

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* 2. Who is answering the survey questions?  

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* 3. Management staff listened to you and responded to your needs in a timely manner?

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* 4. How clean was the facility?

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* 5. How respectfully were you treated by the staff?

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* 6. How quickly did the staff come when you needed help?

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* 7. How well did the staff explain things (finances, medications, plan for care) to you?

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* 8. How did you like the food?  

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* 9. How well was your need for privacy met?

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* 10. How meaningful and enjoyable were the activities offered at the facility?

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* 11. How enjoyable was your dining experience?

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* 12. Please rate your overall experience

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* 13. What do we best?  Is there anyone we should recognize?

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* 14. What can we do better?

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* 15. Is there anything else you would like for us to know?  

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