SATISFACTION
SURVEY
PLEASE TAKE A FEW MOMENTS TO TELL US
ABOUT YOUR EXPERIENCE AT CHILDREN'S HOSPITAL.
CHOOSE THE MOST RECENT SERVICE YOUR CHILD RECEIVED.
THERAPY
(OT, PT, or Speech) -
MAIN HOSPITAL
PHYSICIAN
CLINIC
THERAPY
(OT, PT or Speech) -
SOUTH
THERAPY CENTER
DENTAL CLINIC
THERAPY
(OT, PT or Speech) -
WEST
THERAPY CENTER
DENTAL SURGERY
(Operating Room)
THERAPY
(OT, PT or Speech) -
FREDERICKSBURG
THERAPY CENTER
FEEDING
PROGRAM (Therapy / Day Program / Clinic Appointment
THERAPY
(OT, PT or Speech)
PETERSBURG
THERAPY CENTER
PSYCHOLOGY
(any location)
PLEASE RATE THE ABOVE SERVICE THAT BEST DESCRIBES YOUR EXPERIENCE.
BEFORE YOUR APPOINTMENT
Very Good
Good
Fair
Poor
Very Poor
Ease of making an appointment
Ease of getting through on the phone
Explanations of how to prepare for the visit
REGISTRATION AND WAITING
Wait time for registration
Wait time to see clinician
Comfort and amenities of the waiting area
Helpfulness and friendliness of staff
THOSE WHO PROVIDED CARE
Respect and caring shown to you and your child
Knowledge and skill of those who provided care
Explanations about treatment
Amount of time spent answering your questions
Staff's concern for your child's comfort
Adequacy of staff hand hygiene when providing care
Information given regarding follow-up care
ABOUT THE FACILITY
Very Good
Good
Fair
Poor
Very Poor
Ease of finding your way around the facility
Cleanliness of the facility
Decor and cheerfulness of the area
Degree of safety and security you felt in the facility
OVERALL
Staff's concern for your/ your child's privacy
Helpfulness in getting billing concerns addressed
Overall rating of this experience
Likelihood of recommending Children's Hospital to others
PLEASE SHARE ANY ADDITIONAL COMMENTS:
PLEASE CLICK ON
SUBMIT
BUTTON AT BOTTOM.
THANK YOU FOR TAKING THE TIME TO COMPLETE OUR SURVEY.
Effective Date: 7/2009