At Norfolk General Hospital (NGH), we are here for you and value your feedback.  Maximizing patient satisfaction is of paramount importance.  Using the following survey, please provide your insights and experience as a patient, whether you have a compliment, complaint or comment.  Sharing your experience will guide and enhance how we provide quality care to our patients and families.  Participation in this survey is completely voluntary and all of your answers will be kept confidential.
 
On behalf of the NGH Family, thank you for sharing your experience with us and being part of the change to improve the quality of our services.

Yours truly,
                                                                                 
 

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* 1. Which department did you most recently visit?

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* 2. Did staff introduce themselves and tell you what they do?

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* 3. How often do you feel staff listened to you and your family?

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* 4. During this visit, how often did staff treat you with courtesy and respect?

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* 5. Nurses explained things fully and understandably?

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* 6. How often do you feel that the doctor/nurse practitioner listened to you and your family?

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* 7. Did the doctor/nurse practitioner explain things fully and understandably?

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* 8. Do you feel there was good communication about your care between doctors, nurses and other hospital staff?

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* 9. Did you receive enough information from hospital staff about what symptoms or health problems to look out for after you left the hospital?

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* 10. Before you left the hospital, did you have a clear understanding about your prescribed medications, including those you were taking before your hospital stay?

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* 11. During your hospital stay, do you recall all staff members consistently washing their hands prior to and after providing your care?

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* 12. During this hospital stay how often were your room and bathroom kept clean?

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* 13. Did the meal service and menus meet your expectations?

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* 14. During your visit, did you encounter difficulties or problems regarding-Disability, Culture/Ethnicity/Race, Sexual Orientation, Language, Religion, etc.?

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* 15. Would you recommend NGH to a friend or colleague?

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* 16. Additional Comments:

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* 17. Do you wish to be contacted regarding your experience? (Please comment name and contact information)

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