Patient Experience Survey

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,

Question Title

* 1. Which department did you most recently visit?

Emergency Department

3E Medical Department

3B Medical Surgical Department

Maternal Newborn Department

Intensive Care Department

4B Complex Care Department

Diagnostic Imaging Department (X-ray, Ultrasound, CT, etc.)

Surgical Day Care/Medical Day Care Department

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

* 5. Nursing/diagnostic imaging staff explained things fully and understandably?

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

* 6. If you received lab services (blood work, testing, etc.), did they meet your expectations?

Never

Sometimes

Usually

Always

Never

Sometimes

Usually

Always

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

No information received
1

Some information received
2

Adequate information received
3

All needed information received
4

No information received
1

Some information received
2

Adequate information received
3

All needed information received
4

Question Title

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

Unclear understanding
1

Somewhat clear understanding
2

Clear understanding
3

Very clear understanding
4

Unclear understanding
1

Somewhat clear understanding
2

Clear understanding
3

Very clear understanding
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Never
1

Sometimes
2

Usually
3

Always
4

Never
1

Sometimes
2

Usually
3

Always
4

Question Title

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

Always
1

Moderately
4

A few times
7

Never
10

Always
1

Moderately
4

A few times
7

Never
10

Question Title

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

Definitely not
1

Probably not
2

Probably yes
3

Definitely yes
4

Definitely not
1

Probably not
2

Probably yes
3

Definitely yes
4

Patient Experience Survey

Question Title

* 1. Which department did you most recently visit?

Question Title

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

Question Title

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

Question Title

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

Question Title

* 5. Nursing/diagnostic imaging staff explained things fully and understandably?

Question Title

* 6. If you received lab services (blood work, testing, etc.), did they meet your expectations?

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 17. Additional Comments:

Question Title

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