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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. |
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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
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Your Care From Staff During this visit, how often did staff treat you with courtesy and respect? |
Never Sometimes Usually Always |
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Your Care Environment During your visit, how often did you find your surroundings clean and well kept. |
Never Sometimes Usually Always |
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Your Care Need During your visit, how often were your needs met? |
Never Sometimes Usually Always |
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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 |
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Overall Assessment of Care
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Very Poor Poor Fair Good Very Good |
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Excellent Service We want to recognize staff that provided excellent service to you and your family while in our facility. Please share with us… |
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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.
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Contact If you would like someone to contact you, please submit with name and phone number |
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