PATIENT SATISFACTION SURVEY

Dear Northern Inyo Hospital Patient: We hope your experience was a positive one. Please complete the following survey by circling one of the following:  (P=Poor;  F=Fair;  A=Average;  G=Good;  E=Excellent).

Day of Week Seen:        Monday             Tuesday            Wednesday              Thursday               Friday               Saturday             Sunday
Dept Seen In:                  OutPt                   ER                      In Patient                     RHC                      Radiology                       Lab
Overall quality of care and services P F A G E
Respect for my privacy P F A G E
Admitting Process P F A G E
Nursing Care P F A G E
Physician Care P F A G E
X-ray Services P F A G E
Laboratory Services P F A G E
Staff listened and answered my questions P F A G E
Registration waiting time  ______ minutes. Experience was: P F A G E
Procedure waiting time ______ minutes.  Experience was: P F A G E
Would you recommend this hospital to a friend? No Probably not Not Sure Maybe Yes

 

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Mail to:         Attn: Administration Office                             Or e-mail comments to:  NIH.Administration@nih.org
                     Northern Inyo Hospital
                     150 Pioneer Lane
                     Bishop, CA  93514