Patient Satisfaction Survey

All patient satisfaction surveys are returned to administration, not the individual departments. Departments receive a report of the results. If you wish to be contacted to discuss your experience, please leave your name and contact information and a supervisor will be happy to contact you.

Thank you for your input!

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* 1. Please identify from which NOSH site you accessed an outpatient service:

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* 2. Please indicate on which outpatient service you will be providing feedback for

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* 3. How would you rate the quality of care and services provided to you?

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* 4. How would you rate our staffs friendliness, knowledge and professionalism.

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* 5. If you answered fair or poor to the questions above, please tell us why

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* 6. My waiting time was reasonable

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* 7. I was treated in professional and safe manner

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* 8. The department was clean and comfortable

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* 9. Any written or verbal instructions given to me were clear and easy to follow

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* 10. If you answered disagree or strongly disagree to any of the questions above, please tell us why

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* 11. Staff verified my identity before proceeding with the exam/appointment

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* 12. If any appointment was required I was taken in on time

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* 13. If I had to wait, I was informed why

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* 14. Any questions or concerns that I, or my family, had were addressed

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

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* 16. If you answered no to any of the questions above, please tell us why

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* 17. If you required further services, would you come back to us?

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* 18. Would you feel good about referring someone who might need care for their pain or injuries?

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* 19. Please provide any additional feedback regarding your experience

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