Patient Experience Survey
Please provide your visit details
Enter your first name
Enter your last name
Enter your patient case number
Select the date of your hospital visit
When did you receive care?
Which department are you rating?
Rate your experience with our nursing team.
The skill and professionalism of the nursing staff.
How quickly nurses responded to your needs.
How well nurses explained things to you.
The friendliness and compassion of the nurses.
How well your pain was managed by the nursing team.
The professional appearance and cleanliness of the nursing staff.
Rate your experience with your doctor.
How well the doctor listened to your concerns.
How clearly the doctor explained your condition and treatment.
Your confidence in the doctor's skill and expertise.
The amount of time the doctor spent with you.
Rate the cleanliness and comfort of your environment.
The overall cleanliness of your room and facilities.
The responsiveness of housekeeping to any requests.
The attitude and professionalism of housekeeping staff.
The quality and condition of room amenities (bed, call bells, TV, etc.).
Rate your experience with our food services.
The taste and quality of the meals provided.
The variety and options available on the menu.
The portion size of the meals you received.
The courtesy and efficiency of the catering staff.
How promptly meals were served.
e.g. Physio, Dietitian, Social Worker, Wound Care
The professionalism of the allied health provider.
How well they explained your therapy or plan.
The quality of care or therapy you received.
How well they coordinated with your other care providers.
Rate your experience with administrative processes and other services.
The ease and efficiency of the admission process.
The clarity and accuracy of the billing information.
The helpfulness and courtesy of the administrative staff.
The professionalism and visibility of security personnel.
Your experience with lab tests and sample collection.
Your general feedback about the hospital stay.
The overall comfort and atmosphere of the hospital.
How well the care team communicated with you and each other.
How would you rate your entire hospital experience?
Let us know about specific staff members (optional)
Name any staff member who provided excellent care
Name any staff member you had concerns about
Please share any other feedback
Share your thoughts, suggestions, or any other feedback...