How Are We Doing?

We are committed to monitoring our performance by getting your feedback. We are committed to the development of a first rate program which we can only do with your input. Please take a moment to let us know how we are doing.(All submissions are anonymous.)

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* 1. What date and time are your responses to this survey related to?

Date and Time

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* 2. Please rate your experience with the hospitalist during the date and time listed above.

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
Communicated clearly and effectively with me
Communicated courtesously and professionally
Worked as a partner in the plan of care for my patient
Provided assistance that improved patient care
Responded promptly to my concerns
I was satisfied with the way the hospitalist interacted with my patient
I was personally treated with respect by hospitalist
Hospitalist services were of value to me

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* 3. Overall, how do you rate the quality of the hospitalist services we provide?

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* 4. What level of confidence do you have in us to deliver hospitalist services that improve patient safety?

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* 5. What best describes the role of the hospitalist as you understand it?

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* 6. Do you have a compliment/suggestion/complaint or comment to share? If so please enter below.

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