Our patients and their families are highly valued at Walter Reed Bethesda. Please assist us with ensuring "Patient and Family Centered Care" is ALWAYS part of your healthcare experience. All responses are reviewed.

* 1. To what degree did your provider(s) take the time to ask you about your personal values and preferences and include them into your healthcare treatment plan? (Please select one answer.)

* 2. To what degree did your provider(s) take the time to ask you about the values and preferences of your family or other loved ones, and include them into your healthcare treatment plan? (Please select one answer.)

* 3. To what degree did your provider(s) make the effort to help you fully understand your recommended healthcare treatment plan in ways that you and / or your family could fully understand? (Please select one answer.)

* 4. Please share the name of the clinic(s) or inpatient ward(s) you visited for this assessment.

* 5. Date(s) of visit:

* 6. Please use this space to share any feedback, suggestions for improvement or recommendations for outstanding staff performance. Thank you!

Disclaimer: We greatly appreciate your comments but it is optional to include any personally identifiable information or health information about yourself unless you wish to be contacted."

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