PATIENT & FAMILY SATISFACTION
Your opinion is important to us. Please take a few minutes to complete this online satisfaction survey form .
Your Care  
The orientation to rehabilitation you received after your were admitted
Courtesy of doctors and staff
The dignity and respect with which you were treated
The encouragement and support you received from doctors and staff

Rate your level of satisfaction with the following  
Your doctor
Nursing Day Shift (7am - 3pm)
Nursing Evening Shift (3pm - 11pm)
Nursing Night Shift (11pm - 7am)
Physical Therapy
Occupational Therapy
Speech and Language Therapy
Recreational Therapy
Social Work/Case Management
Psychology
Spiritual/Pastoral Care
Staff promptness in responding to your request
Attention to your individual needs and preferences
The extent of your involvement in setting your rehabilitation goals and plan of care
How well the doctors and staff were able to answer your questions and concerns
The coordination of your care between the rehabilitation team members
The extent ot which your pain was controlled to levels that were acceptable to you
The extent to which staff expectations matched your ability to perform activities
The extent to which your familiy was given information and included in you care

Accomodations  
The cleanliness of your room and other areas
The temperature of your food
The variety of meals offered

Discharge  
The assistance you received with planning for discharge arrangements
The training you received about your medications
Your discharge information packet and other written instructions

Your Overall Experience  
Consideration for your privacy
Your saftey and security as a patient in our facility
The extent to which the rehabilitation program helped you meet your goals
Overall satisfaction with you rehabiliitaion stay
If a family member of friend needed rehabilitation services, would you recommend this facility?

How can we improve the saftey of our patients

Other comments or suggestions for improvement:

How was this survey completed

Occasionaly we follow-up with selected respondents for further information. If you do not wish to be contacted, please indicate so by checking the box I do not wish to be contacted about my comments on this survey