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RESIDENT EXPERIENCE SURVEY

Your feedback helps us improve care and services at our home. Please take a few minutes to complete this survey. Your responses are confidential and will be used to enhance your quality of life.
1.Who is filling out the survey?
2.Name of Facility
3.Staff treat you with courtesy and respect
4.You feel comfortable expressing concerns to staff
5.You are satisfied with how the Doctor/ Nurse Practitioner involves you and your family in deciding about your care
6.Your personal care routines (e.g., bathing, dressing) are respected
7.You are satisfied with the quality of the food
8.You have enough time to eat your meals
9.There are activities offered you enjoy
10.You feel encouraged to participate in social and recreational activities
11.You feel safe living in and visiting the home
12.You can trust the staff who provide you with care
13.Your room and the home is clean and well maintained
14.Continence care products, such as briefs and pads, are available, appropriate and good quality
15.You would recommend this home to others
16.Overall, how satisfied are you with living in this home
17.Suggestions or Comments
Is there anything you would like to share or suggest to improve your experience?