Thank you for using the Medical/Surgical services at ESH.  We realize that you have many choices available to you when making health care choices for your family.  We appreciate the fact you chose our hospital and want to make sure your visit met or exceeded your expectations.  Please take a moment to complete this brief survey. 
 
Your thoughts will help us provide better service to all of our patients in the future!

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* 1. What was your overall opinion of our hospital?

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* 2. Was this your first visit to our hospital?

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* 3. Would you choose our hospital again?

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* 4. Would you recommend this hospital to your friends and family?

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* 5. Members of your family and /or friends were served satisfactorily by our staff.

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* 6. If you came through the Emergency Department, please rate your service there.

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* 7. If you had to wait to be admitted, was the wait explained to you?

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* 8. The person who admitted you was friendly and efficient.

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* 9. The nurses were compassionate and caring.

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* 10. When you asked questions did you get enough information from the nurses?

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* 11. Did the nurses respect and protect your privacy?

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* 12. The nurses responded promptly when called.

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* 13. The nurses placed things you needed within reach.

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* 14. The nurses spent time talking with you and listening to your needs.

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* 15. Your pain was adequately treated.

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* 16. Did you have questions about your medication?

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* 17. Your questions were answered to your satisfaction.

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* 18. Name one suggestion that would have improved your experience.

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* 19. Adequate precautions were taken for your safety.

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* 20. Please rate the service you received from the following departments.

  Excellent Good Fair Poor N/A
Admitting
Surgery
Laboratory
X-ray/Radiology
Cardiopulmonary
Physical Therapy
Occupational Therapy
Speech Therapy
Dietary
Pharmacy
Housekeeping/Maintenance
Volunteers

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* 21. Did you have any concerns or questions that were not addressed to your satisfaction?

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* 22. The social worker adequately assisted you with your discharge needs.

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* 23. Your referrals were satisfactory.

Thank you for taking the time to fill out our suvey so that we may improve our services to our patients. Your suggestions are very important to us. The following questions are optional.

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* 24. Date of visit or hospital stay:

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* 25. Address

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* 26. Gender Identity/Age

  under 18 years 18-30 years 31-45 years 46-65 years 66 years and over
Male
Female
If you have additional information or concerns please feel free to contact :
     Nanette Houck
     Assistant Administrator of Excelsior Springs Hospital
     816-629-2742
     nhouck@esmc.org

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