We thank you for providing us with feedback about your time at Glenelg Community Hospital. Your feedback will be used to help us continuously improve our services.

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1. Admission Date

Date

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2. Were you a: (Required.)

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3. Was the Hospital online admission & health questionnaire easy to complete?

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4. Was your admission process on the day a positive experience?

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5. Were the staff polite, professional, respectful, considerate and listened well?:

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6. Were you happy with the quality of care you received?

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7. Was your environment clean and comfortable?

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8. How well was your pain controlled?

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9. Did you view staff practicing Hand Hygiene?

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10. Did the nurses and doctors explain things in a way you could understand?

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11. On discharge were you provided with information on site infection or antibiotics?

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12. How likely are you to choose this hospital for your care in the future?

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13. Do you have any suggestions for improvements or feedback?

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