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Customer Satisfaction Survey

Please answer the questions in this survey about your experience at Wm. Newton Hospital. It is only through your feedback that we can identify areas for improvement and recognize outstanding staff members.
  Care Area
Indicate the area(s) you received care during your visit
Inpatient
Outpatient
Emergency Room
Surgery
Laboratory
Radiology
Respiratory
Endoscopy
Physical therapy
Rural Health Clinic
  Your Care From Staff
During this visit, how often did staff treat you with courtesy and respect?
Never     Sometimes     Usually     Always    
  Your Care Environment
During your visit, how often did you find your surroundings clean and well kept.
Never     Sometimes     Usually     Always    
  Your Care Need
During your visit, how often were your needs met?
Never     Sometimes     Usually     Always    
  Your Care at Home
During your visit, rate the information given on how to care for self at home.
Very Poor     Poor     Fair     Good     Very Good    
  Overall Assessment of Care
Very Poor     Poor     Fair     Good     Very Good    
  Excellent Service
We want to recognize staff that provided excellent service to you and your family while in our facility. Please share with us…
  Comments
Thank you for completing the survey. We welcome your comments so we can better improve our services for you and your family. If you were unable to choose Always or Very Good on any of the questions above, please explain.
  Contact
If you would like someone to contact you, please submit with name and phone number