Marias Medical Center values your opinion.  We appreciate your feedback to help us continuously improve our performance and provide the service you deserve. 

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* 1. In regards to your recent visit to the emergency room at Marias Medical Center, which physician(s) provided your care?

Please rate the care you/your child/loved one received in our emergency department.

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* 2. How would you rate the overall quality of care and services you received at MMC's emergency department?

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* 3. How would you rate how well the nurse explained things to you?

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* 4. How would you rate how well the physician explained things to you?

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* 5. Please comment how well your attending physician met your needs?

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* 6. Approximately how long was your waiting time before seeing a physician?

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* 7. How would you rate how well the staff kept you informed about waiting times?

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* 8. How would you rate the effectiveness of the emergency department in improving your condition as much as possible?

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* 9. How would you rate how well the staff explained the care you would need after leaving the emergency department?

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* 10. How would you rate how well your privacy was respected by all the staff?

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* 11. How would you rate how well I was treated with dignity and respect during procedures and other care by all the staff?

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* 12. If you received radiology (x-ray) services during your visit, how would you rate the overall quality of this service?

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* 13. If you received laboratory services during your visit, how would you rate the overall quality of this service?

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* 14. If you received respiratory services during your visit, how would you rate the overall quality of this service?

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* 15. We would appreciate any explanation or suggestions for any areas that can be improved.

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* 16. (Optional) Name - We would appreciate you providing your name so a representative may contact you in regards to your concerns about your emergency room visit.

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* 17. (Optional) Date of ER visit

Date
Thank you for your time, and have a great day!

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