1. Please tell us a little about your visit. If you have specific concerns/issues, please provide your contact information for follow-up.

2. Did you need a wheelchair upon arrival at Vanderbilt?

3. If yes, was a wheelchair provided promptly at your time of arrival?

4. While in a waiting area, did a Guest Service Representative introduce himself/herself and explain their duties?

5. Did a Guest Service Representative explain the waiting room guidelines and visitation procedures with you?

6. Was the Guest Service Representative readily available and willing to assist you?

7. Was the Guest Service Representative courteous/sensitive while performing the responsibilities of his/her duties?

8. Was the waiting room cleaned daily and to your satisfaction?

9. If concerns were brought to the attention of a Guest Service Representative, did he/she immediately follow-up? Please explain.

10. Please list any suggestions for improving Hospital Guest Services.