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* 1. Please choose your location

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* 2. Survey Completed by:

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* 3. I felt welcomed and respected as a patient throughout my visit

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* 4. My privacy / confidentiality was respected at all times

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* 5. My diagnosis was explained to me in a way I could understand

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* 6. Treatment for my diagnosis was explained to me in a way I could understand

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* 7. My questions were answered promptly and in a way I could understand

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* 8. My family was included as part of my care team, to the extent that I wanted them to be

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* 9. I was given clear discharge instructions (e.g., dietary or physical restrictions, new medications, symptoms to watch for, etc.,) to be able to manage post-operatively at home

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* 10. I found the patient are to be comfortable and pleasant

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* 11. My room, and the hospital in general, was clean

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* 12. My linen was clean, and sufficient quantities were available

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* 13. The quality of food, and service delivery, was high

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* 14. Overall impression of the care you received:

0 5 10 (best)
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i We adjusted the number you entered based on the slider’s scale.

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* 15. Comments:

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