* 1. During your visit to the Emergency Department, how satisfied were you with the amount of time the doctors spent with you?

* 2. How satisfied were you with the total amount of time spent in the ED from arrival to discharge?

* 3. How often did you feel that the care and services received during the visit were well coordinated?

* 4. How often did the patient care staff do a good job of keeping you informed about delays in care or treatment?

* 5. How often did you feel comfortable asking the patient care staff questions about your care and treatment in the ED?

* 6. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.

* 7. Before giving any new medicine, how often did the patient care staff explain what the medicine was for?

* 8. How often did you feel the doctors really cared about you as a person?

* 9.  During this emergency department visit, were you given any medicine that you had not taken before?

* 10. “Using any number from 0 to 10, where 0 is the worst emergency department possible and 10 is the best emergency department possible, what number would you use to rate this emergency department?

* 11. If we did not give you "10" service what could we have done better?

* 12. Any other comments?

* 13. Optional

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