We thank you for providing us with feedback about your time at Glenelg Community Hospital. Your feedback will be used to help us continuously improve our services.

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* 1. Admission Date

Date

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* 2. Were you a:

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* 3. Was the Hospital online admission & health questionnaire easy to complete?

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* 4. Was your admission process on the day a positive experience?

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* 5. Were the staff polite, professional, respectful, considerate and listened well?:

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* 6. Were you happy with the quality of care you received?

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* 7. Was your environment clean and comfortable?

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* 8. Did you view staff practicing Hand Hygiene?

Post-Operative & Discharge Questions

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* 9. Did you receive adequate information and instructions regarding discharge?

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* 10. Has your post-operative pain been well controlled?

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* 11. Have you experienced any unexpected bleeding since discharge?

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* 12. Did the nurses and doctors explain things in a way you could understand?

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* 13. On discharge were you provided with information on site infection or antibiotics?

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* 14. How likely are you to choose this hospital for your care in the future?

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* 15. We would value your contribution in one of our focus groups we hold throughout the year, would you like to participate?

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* 16. Do you have any suggestions for improvements or feedback?

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* 17. If you would like us to contact you regarding your responses, please advise your Name, Contact Number & Admitting Doctor:

We appreciate your feedback.
If you have any medical concerns or feel uncertain about your recovery following your procedure, please contact your Admitting Doctor. In the event of an emergency, present to your nearest Emergency Department.

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