* 1. How would you rate the overall customer service during your stay?

* 2. How would you rate the call bell response time?

* 3. Please choose your average call bell response time.

* 4. How would you rate the staff's courtesy and friendliness?

  Excellent Very Good Good Fair Poor N/A
Administrator
Dr. Tanya Zinner, MD
Tracy Wang, Physician Assistant
Patricia Rabon, Physician Assistant
Jennifer Catanzaro, Nurse Practitioner
Nursing
Physical Therapy
Speech Therapy
Occupational Therapy
Social Worker/Discharge planner
Dietary
Activities Department
Housekeeping

* 5. How would you rate the staff's responsiveness to your needs?

  Excellent Very Good Good Fair Poor N/A
Administrator
Dr. Tanya Zinner, MD
Tracy Wang, Physician Assistant
Patricia Rabon, Physician Assistant
Jennifer Catanzaro, Nurse Practitioner
Nursing
Physical Therapy
Speech Therapy
Occupational Therapy
Social Worker/Discharge planner
Dietary
Activities Department
Housekeeping

* 6. How would your rate the team's assistance with discharge planning?

* 7. How would you rate the quality of your dining experience?

* 8. How would you rate the staff's overall quality of care or the services delivered?

  Excellent Very Good Good Fair Poor N/A
Administrator
Dr. Tanya Zinner, MD
Tracy Wang, Physician Assistant
Patricia Rabon, Physician Assistant
Jennifer Catanzaro, Nurse Practitioner
Nursing
Physical Therapy
Speech Therapy
Occupational Therapy
Social Worker/Discharge planner
Dietary
Activities Department
Housekeeping

* 9. Was there any one individual who did something outstanding for you that you would like to recognize?

T