Patient Satisfaction Survey

WE WELCOME YOUR FEEDBACK
In order to provide the best possible health care, we need to know what you think about the service and care you received as an inpatient at St John of God, Berwick. We greatly appreciate you taking a few minutes to complete this survey. Your answers are strictly confidential. The information and feedback you give us will be used to improve our quality of care.

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* 1. Please select the ward your feedback relates to

Maternity

Medical

Surgical

Day Ward

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* 2. Please tick the box that best describes your response

	Very Good	Good	Fair	Poor	Very Poor	Not Applicable
Overall you were satisfied with the quality of care and service you received.	Overall you were satisfied with the quality of care and service you received. Very Good	Overall you were satisfied with the quality of care and service you received. Good	Overall you were satisfied with the quality of care and service you received. Fair	Overall you were satisfied with the quality of care and service you received. Poor	Overall you were satisfied with the quality of care and service you received. Very Poor	Overall you were satisfied with the quality of care and service you received. Not Applicable
The nurses made an effort to include you in decisions regarding your care.	The nurses made an effort to include you in decisions regarding your care. Very Good	The nurses made an effort to include you in decisions regarding your care. Good	The nurses made an effort to include you in decisions regarding your care. Fair	The nurses made an effort to include you in decisions regarding your care. Poor	The nurses made an effort to include you in decisions regarding your care. Very Poor	The nurses made an effort to include you in decisions regarding your care. Not Applicable
How well you were kept informed of, and received an explanation of your diagnosis and treatment.	How well you were kept informed of, and received an explanation of your diagnosis and treatment. Very Good	How well you were kept informed of, and received an explanation of your diagnosis and treatment. Good	How well you were kept informed of, and received an explanation of your diagnosis and treatment. Fair	How well you were kept informed of, and received an explanation of your diagnosis and treatment. Poor	How well you were kept informed of, and received an explanation of your diagnosis and treatment. Very Poor	How well you were kept informed of, and received an explanation of your diagnosis and treatment. Not Applicable
How well your family was kept informed regarding your condition and treatment.	How well your family was kept informed regarding your condition and treatment. Very Good	How well your family was kept informed regarding your condition and treatment. Good	How well your family was kept informed regarding your condition and treatment. Fair	How well your family was kept informed regarding your condition and treatment. Poor	How well your family was kept informed regarding your condition and treatment. Very Poor	How well your family was kept informed regarding your condition and treatment. Not Applicable
How well the Doctors and Nurses communicated with each other regarding your care and treatment.	How well the Doctors and Nurses communicated with each other regarding your care and treatment. Very Good	How well the Doctors and Nurses communicated with each other regarding your care and treatment. Good	How well the Doctors and Nurses communicated with each other regarding your care and treatment. Fair	How well the Doctors and Nurses communicated with each other regarding your care and treatment. Poor	How well the Doctors and Nurses communicated with each other regarding your care and treatment. Very Poor	How well the Doctors and Nurses communicated with each other regarding your care and treatment. Not Applicable
Staff addressed your emotional, cultural and spiritual needs	Staff addressed your emotional, cultural and spiritual needs Very Good	Staff addressed your emotional, cultural and spiritual needs Good	Staff addressed your emotional, cultural and spiritual needs Fair	Staff addressed your emotional, cultural and spiritual needs Poor	Staff addressed your emotional, cultural and spiritual needs Very Poor	Staff addressed your emotional, cultural and spiritual needs Not Applicable
The courtesy of the switchboard/reception staff.	The courtesy of the switchboard/reception staff. Very Good	The courtesy of the switchboard/reception staff. Good	The courtesy of the switchboard/reception staff. Fair	The courtesy of the switchboard/reception staff. Poor	The courtesy of the switchboard/reception staff. Very Poor	The courtesy of the switchboard/reception staff. Not Applicable
Help you received arranging home care services for your discharge.	Help you received arranging home care services for your discharge. Very Good	Help you received arranging home care services for your discharge. Good	Help you received arranging home care services for your discharge. Fair	Help you received arranging home care services for your discharge. Poor	Help you received arranging home care services for your discharge. Very Poor	Help you received arranging home care services for your discharge. Not Applicable
Instructions you received regarding care at home after your discharge.	Instructions you received regarding care at home after your discharge. Very Good	Instructions you received regarding care at home after your discharge. Good	Instructions you received regarding care at home after your discharge. Fair	Instructions you received regarding care at home after your discharge. Poor	Instructions you received regarding care at home after your discharge. Very Poor	Instructions you received regarding care at home after your discharge. Not Applicable
Informed and involved in the planning for your discharge.	Informed and involved in the planning for your discharge. Very Good	Informed and involved in the planning for your discharge. Good	Informed and involved in the planning for your discharge. Fair	Informed and involved in the planning for your discharge. Poor	Informed and involved in the planning for your discharge. Very Poor	Informed and involved in the planning for your discharge. Not Applicable
How well did we make available information on how make/voice a complaint.	How well did we make available information on how make/voice a complaint. Very Good	How well did we make available information on how make/voice a complaint. Good	How well did we make available information on how make/voice a complaint. Fair	How well did we make available information on how make/voice a complaint. Poor	How well did we make available information on how make/voice a complaint. Very Poor	How well did we make available information on how make/voice a complaint. Not Applicable
How well did we make available information about your rights and responsibilities as a patient.	How well did we make available information about your rights and responsibilities as a patient. Very Good	How well did we make available information about your rights and responsibilities as a patient. Good	How well did we make available information about your rights and responsibilities as a patient. Fair	How well did we make available information about your rights and responsibilities as a patient. Poor	How well did we make available information about your rights and responsibilities as a patient. Very Poor	How well did we make available information about your rights and responsibilities as a patient. Not Applicable
How well did you understand your rights and responsibilities.	How well did you understand your rights and responsibilities. Very Good	How well did you understand your rights and responsibilities. Good	How well did you understand your rights and responsibilities. Fair	How well did you understand your rights and responsibilities. Poor	How well did you understand your rights and responsibilities. Very Poor	How well did you understand your rights and responsibilities. Not Applicable
The hospital environment was clean and comfortable.	The hospital environment was clean and comfortable. Very Good	The hospital environment was clean and comfortable. Good	The hospital environment was clean and comfortable. Fair	The hospital environment was clean and comfortable. Poor	The hospital environment was clean and comfortable. Very Poor	The hospital environment was clean and comfortable. Not Applicable
The quality of the meals.	The quality of the meals. Very Good	The quality of the meals. Good	The quality of the meals. Fair	The quality of the meals. Poor	The quality of the meals. Very Poor	The quality of the meals. Not Applicable
The nurses placed things within your reach during your stay.	The nurses placed things within your reach during your stay. Very Good	The nurses placed things within your reach during your stay. Good	The nurses placed things within your reach during your stay. Fair	The nurses placed things within your reach during your stay. Poor	The nurses placed things within your reach during your stay. Very Poor	The nurses placed things within your reach during your stay. Not Applicable
Information received to understand any current medical conditions	Information received to understand any current medical conditions Very Good	Information received to understand any current medical conditions Good	Information received to understand any current medical conditions Fair	Information received to understand any current medical conditions Poor	Information received to understand any current medical conditions Very Poor	Information received to understand any current medical conditions Not Applicable

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* 3. Please feel free to leave comments and general feedback below

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* 4. Do you wish to be contacted with regards to any matter relating to your experience?

Yes (please leave your contact details below)

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* 5. Would you be interested in participating in our Consumer Reference Group

Yes (please leave your contact details below)

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* 6. Contact Details

Name:

Address:

Contact Number:

Email: