* PLEASE TELL US THE DATE OF YOUR VISIT:

* Privacy and dignity were maintained

* Professionalism of staff

* Willingness of doctors to involve you in decisions about your care

* Nursing staff explained medications and procedures

* My pain was addressed 

* Overall cleanliness of your room

* Overall satisfaction of meals

* Call light answered in a timely manner

* How safe did you feel during your stay

* Your aftercare instructions were explained on discharge

* If you have any suggestions, please list below.

* If you would like to be contacted, please, fill out the form below.

* All surveys are received anonymously unless you have provided the above information. A representative from the hospital will contact you within 24hrs of receipt of this survey. Your input is valuable to us and will remain private.
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