DeTar Navarro Patient Satisfaction Survey Question Title * 1. Please provide the name of your doctor. E. Baden G. Nelson A. Tinsley J. Brand T. Francis D. Young E. Herbert C. Happel J. Poplawsky F. Martin L. Gwin R. Day M. Hassan D. Young I do not know Other (please specify) Question Title * 2. The registration staff treated me with courtesy and respect. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 3. The nurse treated me with kindness and compassion. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 4. The nurse treated me with courtesy and respect. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 5. The doctor treated me with kindness and compassion. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 6. The doctor treated me with courtesy and respect. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 7. The doctor explained things in a way I could understand. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 8. The doctor took time to answer my questions. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 9. I felt my privacy was protected. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 10. The emergency department was clean and comfortable. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 11. Would you recommend this Emergency Department to your friends and family? Definitely yes Probably yes Maybe Probably not Definitely not Question Title * 12. How would you rate your overall experience in the Emergency Department? Excellent Good Okay Below Average Poor Question Title * 13. Please provide feedback about your experience. Question Title * 14. Would you like to be contacted about your experience? Yes No Next