* 1. What services did you utilize at Haxtun Hospital District?

* 2. How you feel is very important to us. Did you feel cared about during your visit?

* 3. Do you feel your privacy and confidentiality were respected?

* 4. Do you feel the staff effectively communicated with you?

* 5. Is there a staff member(s) that you would like to recognize for outstanding service?

* 6. Your comments and feedback are very important to us.
Please use the space below for additional comments.