Serenity Hospice Portland Partner Survey
1.
Would you trust Serenity Hospice to care for your loved one?
Yes
No
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
3.
Are you pleased with the timeliness of our admission of your patients?
Very pleased
Average
Too slow
4.
Are we communicating appropriately with you while your patient is on our service?
Communicating the proper amount
Communicating too much
Communicating too little
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)
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.
Living Facility
Physician Practice
Hospital
Other
*
8.
Please give us your name and the name of your company.
(Required.)