If you have been hospitalized in a Gainesville area hospital during the past year please fill out this survey. The responses are anonymous and will be used by EPC to guide improvements. By filling out this survey you can help other patients and provide feedback for providers in our area. Our goal is to help to continually improve the healthcare patients in the Gainesville area receive.

* 1. In what Hospital were you cared for:

* 2. What was the date of your hospitalization or clinic visit?

* 3. During your hospital stay or clinic visit, how often did doctors treat you with courtesy and respect?

* 4. How well did your physicians listen to your needs?

* 5. How helpful was your doctor at explaining your medical condition(s)?

* 6. How helpful was your nurse at explaining your medical condition(s)?

* 7. The doctors and nurses were in good communication about your plan of care.

* 8. How would you rate the overall care provided by your physicians?

* 9. How would you rate the overall care provided by your nurses?

* 10. When leaving the hospital or clinic did you feel prepared to manage your recovery?

* 11. Using any number from 0 to 10, where 0 is the worst hospital or clinic possible and 10 is the best hospital or clinic possible, what number would you use to rate your hospital?

  10 Best hospital possible 9 8 7 6 5 4 3 2 1 0 Worst hospital possible
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* 12. During your stay or clinic visit did you witness any mistakes or errors in your care or that of another patient?

* 13. If YES did this mistake or error result in an injury?

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