Patient Satisfaction Survey - Hemo

Paragon Healthcare Specialty: Patient Satisfaction Survey

At Paragon Healthcare, we are committed to our patients and to offering the best service possible. We value feedback from our patients and caregivers. Please take a moment to complete this survey and return it to Paragon Healthcare in the enclosed, pre-addressed envelope. All responses are confidential unless you choose to include your contact information.

Question Title

* 1. What type(s) of home therapy did you or your family member receive from Paragon Healthcare? (Please check all that apply)

Bleeding Disorders

IVIG

Asthma

Rheumatology

Hepatology/Gastroenterology

Dermatology

Other

Question Title

* 2. Regarding your most recent interaction with Paragon Healthcare staff, please rate them on each of the following:

	Excellent	Very Good	Good	Fair	Poor
Promptness of answering calls	Promptness of answering calls Excellent	Promptness of answering calls Very Good	Promptness of answering calls Good	Promptness of answering calls Fair	Promptness of answering calls Poor
Explanation of plan of care	Explanation of plan of care Excellent	Explanation of plan of care Very Good	Explanation of plan of care Good	Explanation of plan of care Fair	Explanation of plan of care Poor
Answering questions	Answering questions Excellent	Answering questions Very Good	Answering questions Good	Answering questions Fair	Answering questions Poor

Question Title

* 3. If your therapy requires the use of home nursing, what agency provides your nursing care?

Question Title

* 4. Regarding your home nurse/nursing agency, please rate them on each of the following:

	Excellent	Very Good	Good	Fair	Poor
Promptness of answering calls	Promptness of answering calls Excellent	Promptness of answering calls Very Good	Promptness of answering calls Good	Promptness of answering calls Fair	Promptness of answering calls Poor
Explanation of therapy	Explanation of therapy Excellent	Explanation of therapy Very Good	Explanation of therapy Good	Explanation of therapy Fair	Explanation of therapy Poor
Explanation of plan of care	Explanation of plan of care Excellent	Explanation of plan of care Very Good	Explanation of plan of care Good	Explanation of plan of care Fair	Explanation of plan of care Poor
Answering Questions	Answering Questions Excellent	Answering Questions Very Good	Answering Questions Good	Answering Questions Fair	Answering Questions Poor

Question Title

* 5. Regarding deliveries, did the Paragon staff let you know when to expect your delivery?

YES

N/A

Question Title

* 6. If your shipment was delayed, did the pharmacy staff notify you of the delay?

YES

N/A

Question Title

* 7. Would you recommend Paragon Healthcare to someone looking for a specialty pharmacy?

YES

N/A

Question Title

* 8. If you visited our website at www.paragonspecialty.com, did you find the site easy to navigate?

YES

N/A

Question Title

* 9. Overall, how satisfied are you with Paragon Healthcare services?

Very Satisifed

Satisfied

Uncertain

Dissatisfied

Very Dissatisfied

Question Title

* 10. Do you have any additional comments about our company, website, pharmacy services, or employees?

Question Title

* 11. Are we able to share your comments on our website for other patients, caregivers, providers, and public to view?

If YES, please provide a name to be publicly displayed with your comment/testimony: