Employee Occupational Health Department (EOHD) Customer Satisfaction Survey
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1.
At which Employee Occupational Health Department (EOHD) location did you receive services?
(Required.)
Sharp Metropolitan Medical Campus (Knollwood)
Spectrum
Grossmont
Chula Vista
Coronado
Non-EOHD locations
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2.
What was the reason for your visit?
(Required.)
New Employee Physical
TB / Annual Screening
Work Injury or Exposure
SNF Physical
Flu Vaccine
Other
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3.
Were you offered an Employee Wellness screening (blood pressure, cholesterol, blood sugar, BMI and tobacco use). Complete this question if your visit was for New Employee Physical, TB / Annual or SNF Physical. Select N/A for any other visit.
(Required.)
Yes
No
N/A
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4.
How well did the EOHD team perform AIDET?
(Required.)
Excellent
Average
Poor
A
cknowledge
Excellent
Average
Poor
I
ntroduce
Excellent
Average
Poor
D
uration
Excellent
Average
Poor
E
xplain
Excellent
Average
Poor
T
hank You
Excellent
Average
Poor
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5.
Overall, how satisfied or dissatisfied are you with the services you received in EOHD?
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
6.
Do you have any other comments, questions, or concerns?
Current Progress,
0 of 6 answered
