Patient Satisfaction Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.

Tell us about yourself

Age:

Gender: Male   Female

Your Race / Ethnicity:
Asian
Pacific Islander
Black / African American
American Indian / Alaska Native
White (Not Hispanic or Latino)
Hispanic or Latino (All Races)
Unknown

Reason for Your Visit:
Emergency Department
Laboratory
Surgery
X-Ray
Other

 

 

Please tell us how well you think we are doing in the following areas:

Ease of obtaining care: Great Good Neutral Fair Poor
Timeliness of scheduling
Convenience of hospital’s location
Prompt return of calls
Waiting: Great Good Neutral Fair Poor
Time spent in waiting room
Time spent in exam room
Time spent waiting for test(s) to be performed
Time spent waiting for test results
Staff:
Provider (Physician, Physician Assistant): Great Good Neutral Fair Poor
Listens to patient
Takes adequate time with patient
Explains what the patient would like to know
Gives good advice and treatment
Nurses:
Listen to patient
Are friendly and helpful to the patient
Answer the patient’s questions
Business Office:
Personnel is friendly and helpful
Answer questions effectively
Payment: Great Good Neutral Fair Poor
Ease of understanding the bill
The letter at the time of registration clearly explained the hospital’s billing policies and procedures
Payment plans
Facility: Great Good Neutral Fair Poor
Neat and clean building
Ease of finding where to go
Comfortable and safe while waiting
Level of privacy
Confidentiality: Great Good Neutral Fair Poor
Patient personal information kept private
Great Good Neutral Fair Poor
The likelihood you will refer friends and family
to Haskell County Hospital
Do you consider Haskell County Hospital your regular source of care? Yes No
What do you like best about our
Emergency Department?
What do you like least about our
Emergency Department?
We welcome your suggestions for improvement.
If you would like to be contacted, please enter your email address.