Our patient experience surveys provide us with valuable information about the way you feel about our care/services.

We use your feedback to identify areas for improvement so taht we can continue to provide high quality health care.

If a question does not apply to you, please leave it blank.

THANK YOU for your feedback.

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* 1. Would you recommend this Emergency Department to your family and friends?

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* 2. Rate the care you received in this Emergency Department:

  Excellent Very Good Good Fair Poor
By Physicians
By Nurses
By other Health Care Providers

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* 3. During my visit:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
I was treated with courtesy and respect.
I was carefully listened to.
Reasons for wait time were explained to me.
There was enough done to address any pain/discomfort I had.
Things were explained to me in a way I could understand.
My questions were answered to my satisfaction.
My fears and anxieties were addressed.
I was able to access and get around in the building easily.
I was given discharge instructions.
I understand any discharge instructions given to me.
The environment was kept clean and free of clutter.

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* 4. Is there anyone you would like us to recognize for outstanding service?

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* 5. Do you have any suggestions to help us improve our service?

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* 6. Would you like someone to contact you regarding today's Emergency Room visit?