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Patient Satisfaction Survey

Division:

Respiratory Infusion



(If you give a rating of less than 5 to any of the questions, please explain.)

1. The Staff of IV & Respiratory Care was kind and courteous to me and my family.

1. Never   2. Rarely   3. Sometimes     4. Mostly 5. Always


Comments:


2. The Staff of IV & Respiratory Care was knowledgeable about the product/service.

1. Never   2. Rarely   3. Sometimes     4. Mostly 5. Always


Comments:


3. I understood what the Staff of IV & Respiratory Care taught me.

1. Never   2. Rarely   3. Sometimes     4. Mostly 5. Always


Comments:


4. The Staff of IV & Respiratory Care considered my needs as well as my family's needs.

1. Never   2. Rarely   3. Sometimes     4. Mostly 5. Always


Comments:


5. My supplies/medications/equipment was delivered at the agreed upon time.

1. Never   2. Rarely   3. Sometimes     4. Mostly 5. Always


Comments:


6. My equipment was clean and in good working order.

1. Never   2. Rarely   3. Sometimes     4. Mostly 5. Always


Comments:


7. The services provided are helping me reach my health care goals.

YES   NO


Comments:


8. If I had a problem after hours, the staff returned my call promptly and handled my concern appropriately.

1. Never   2. Rarely   3. Sometimes   4. Mostly 5. Always
Have not had a problem after hours


Comments:


9. Would you recommend IV & Respiratory Care to others?

YES   NO


Comments:

WE ENCOURAGE YOU TO WRITE ANY COMMENTS FOLLOWING EACH QUESTION. THANKS AGAIN!!!