Labor & Delivery Satisfaction Survey

We're committed to monitoring our performance. As a nurse in Labor and Delivery your opinion on our performance is very important. We want to create a first rate program which we can only do with your input. Please take a moment to let us know how we are doing.(All submissions are anonymous.)

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Responded promptly when called	Responded promptly when called Strongly Agree	Responded promptly when called Agree	Responded promptly when called Neutral	Responded promptly when called Disagree	Responded promptly when called Strongly Disagree	Responded promptly when called N/A
Communicated clearly and effectively	Communicated clearly and effectively Strongly Agree	Communicated clearly and effectively Agree	Communicated clearly and effectively Neutral	Communicated clearly and effectively Disagree	Communicated clearly and effectively Strongly Disagree	Communicated clearly and effectively N/A
Communicated courtesously annd professionally	Communicated courtesously annd professionally Strongly Agree	Communicated courtesously annd professionally Agree	Communicated courtesously annd professionally Neutral	Communicated courtesously annd professionally Disagree	Communicated courtesously annd professionally Strongly Disagree	Communicated courtesously annd professionally N/A
Worked as a partner with you and fellow nurses	Worked as a partner with you and fellow nurses Strongly Agree	Worked as a partner with you and fellow nurses Agree	Worked as a partner with you and fellow nurses Neutral	Worked as a partner with you and fellow nurses Disagree	Worked as a partner with you and fellow nurses Strongly Disagree	Worked as a partner with you and fellow nurses N/A
Provided assistance that improved patient care	Provided assistance that improved patient care Strongly Agree	Provided assistance that improved patient care Agree	Provided assistance that improved patient care Neutral	Provided assistance that improved patient care Disagree	Provided assistance that improved patient care Strongly Disagree	Provided assistance that improved patient care N/A
Responded promptly to patient and physician concerns	Responded promptly to patient and physician concerns Strongly Agree	Responded promptly to patient and physician concerns Agree	Responded promptly to patient and physician concerns Neutral	Responded promptly to patient and physician concerns Disagree	Responded promptly to patient and physician concerns Strongly Disagree	Responded promptly to patient and physician concerns N/A
I was personally treated with respect by hospitalist	I was personally treated with respect by hospitalist Strongly Agree	I was personally treated with respect by hospitalist Agree	I was personally treated with respect by hospitalist Neutral	I was personally treated with respect by hospitalist Disagree	I was personally treated with respect by hospitalist Strongly Disagree	I was personally treated with respect by hospitalist N/A
Hospitalist services were valuable on my shift	Hospitalist services were valuable on my shift Strongly Agree	Hospitalist services were valuable on my shift Agree	Hospitalist services were valuable on my shift Neutral	Hospitalist services were valuable on my shift Disagree	Hospitalist services were valuable on my shift Strongly Disagree	Hospitalist services were valuable on my shift N/A

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

N/A

Responded promptly when called

Responded promptly when called Strongly Agree

Responded promptly when called Agree

Responded promptly when called Neutral

Responded promptly when called Disagree

Responded promptly when called Strongly Disagree

Responded promptly when called N/A

Communicated clearly and effectively

Communicated clearly and effectively Strongly Agree

Communicated clearly and effectively Agree

Communicated clearly and effectively Neutral

Communicated clearly and effectively Disagree

Communicated clearly and effectively Strongly Disagree

Communicated clearly and effectively N/A

Communicated courtesously annd professionally

Communicated courtesously annd professionally Strongly Agree

Communicated courtesously annd professionally Agree

Communicated courtesously annd professionally Neutral

Communicated courtesously annd professionally Disagree

Communicated courtesously annd professionally Strongly Disagree

Communicated courtesously annd professionally N/A

Worked as a partner with you and fellow nurses

Worked as a partner with you and fellow nurses Strongly Agree

Worked as a partner with you and fellow nurses Agree

Worked as a partner with you and fellow nurses Neutral

Worked as a partner with you and fellow nurses Disagree

Worked as a partner with you and fellow nurses Strongly Disagree

Worked as a partner with you and fellow nurses N/A

Provided assistance that improved patient care

Provided assistance that improved patient care Strongly Agree

Provided assistance that improved patient care Agree

Provided assistance that improved patient care Neutral

Provided assistance that improved patient care Disagree

Provided assistance that improved patient care Strongly Disagree

Provided assistance that improved patient care N/A

Responded promptly to patient and physician concerns

Responded promptly to patient and physician concerns Strongly Agree

Responded promptly to patient and physician concerns Agree

Responded promptly to patient and physician concerns Neutral

Responded promptly to patient and physician concerns Disagree

Responded promptly to patient and physician concerns Strongly Disagree

Responded promptly to patient and physician concerns N/A

I was personally treated with respect by hospitalist

I was personally treated with respect by hospitalist Strongly Agree

I was personally treated with respect by hospitalist Agree

I was personally treated with respect by hospitalist Neutral

I was personally treated with respect by hospitalist Disagree

I was personally treated with respect by hospitalist Strongly Disagree

I was personally treated with respect by hospitalist N/A

Hospitalist services were valuable on my shift

Hospitalist services were valuable on my shift Strongly Agree

Hospitalist services were valuable on my shift Agree

Hospitalist services were valuable on my shift Neutral

Hospitalist services were valuable on my shift Disagree

Hospitalist services were valuable on my shift Strongly Disagree

Hospitalist services were valuable on my shift N/A

Labor & Delivery Satisfaction Survey

How Are We Doing?

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* 1. What date and shift are your responses to this survey related to?

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* 2. Please rate us. How did we do on your shift today?

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* 3. Overall, how do you rate the quality of the hospitalist services we provide?

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* 4. What level of confidence do you have in us to deliver hospitalist services that improve patient safety?

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* 5. In the future we will provide customized training for you on a relevant Labor and Delivery topic. What Labor & Delivery topic(s) would you like to learn more about?

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* 6. Do you have a compliment/suggestion/complaint or comment to share? If so please enter below.