Serenity Hospice Portland Partner Survey

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1. Would you trust Serenity Hospice to care for your loved one?

Yes

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2. How convenient is it to refer your patient to Serenity Hospice?

The easiest in town

Comparable to other hospices

Harder than it should be

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3. Are you pleased with the timeliness of our admission of your patients?

Very pleased

Average

Too slow

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4. Are we communicating appropriately with you while your patient is on our service?

Communicating the proper amount

Communicating too much

Communicating too little

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5. Which aspects of our service stand out to you as exceptional? (Choose all that apply.)

Clinical Excellence

Knowledge / Education

Communication

Responsiveness

Ease of referral process

Overall Professionalism

Veteran Care

Complementary Alternative Modalities

Nurses

Aides

Chaplains

Social Workers

Community Liaisons

Volunteers

Office Staff

Other (please specify)

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6. Do you have an additional comments you would like to share?

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7. Please let us know the type of care setting you work in.

Living Facility

Physician Practice

Hospital

Other

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* 1. Would you trust Serenity Hospice to care for your loved one?

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* 2. How convenient is it to refer your patient to Serenity Hospice?

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* 3. Are you pleased with the timeliness of our admission of your patients?

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* 4. Are we communicating appropriately with you while your patient is on our service?

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* 5. Which aspects of our service stand out to you as exceptional? (Choose all that apply.)

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* 6. Do you have an additional comments you would like to share?

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* 7. Please let us know the type of care setting you work in.

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* 8. Please give us your name and the name of your company. (Required.)

1. Would you trust Serenity Hospice to care for your loved one?

2. How convenient is it to refer your patient to Serenity Hospice?

3. Are you pleased with the timeliness of our admission of your patients?

4. Are we communicating appropriately with you while your patient is on our service?

5. Which aspects of our service stand out to you as exceptional? (Choose all that apply.)

6. Do you have an additional comments you would like to share?

7. Please let us know the type of care setting you work in.

8. Please give us your name and the name of your company. (Required.)