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!

Question Title

1. Please identify from which NOSH site you accessed an outpatient service: (Required.)

Question Title

2. Please indicate on which outpatient service you will be providing feedback for (Required.)

Question Title

3. How would you rate the quality of care and services provided to you? (Required.)

Question Title

4. How would you rate our staffs friendliness, knowledge and professionalism? (Required.)

Question Title

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

Question Title

6. When waiting to be registered at front reception, I felt that my wait time was reasonable.  (Required.)

Question Title

7. The receptionist was courteous (Required.)

Question Title

8. The receptionist was knowledgeable (Required.)

Question Title

9. I felt like the receptionist wanted to assist me (Required.)

Question Title

10. My waiting time at the department was reasonable (Required.)

Question Title

11. I was treated in professional and safe manner (Required.)

Question Title

12. The department was clean and comfortable (Required.)

Question Title

13. Any written or verbal instructions given to me were clear and easy to follow (Required.)

Question Title

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

Question Title

15. Staff verified my identity before proceeding with the exam/appointment (Required.)

Question Title

16. If any appointment was required I was taken in on time (Required.)

Question Title

17. If I had to wait, I was informed why (Required.)

Question Title

18. Any questions or concerns that I, or my family, had were addressed (Required.)

Question Title

19. Would you recommend this hospital to family and friends? (Required.)

Question Title

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

Question Title

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

Question Title

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

Question Title

23. Please provide any additional feedback regarding your experience

T