1.Do you currently receive care from Delta Health hospital and/or clinics?

Yes

No

2.If no, and if you so desire, please tell us why you do not use Delta Health for services.

3.If no, and if you so desire, please tell us what we can do (if anything) to gain your business in the future.

4.If yes, what services do you receive from Delta Health?

Just at the hospital

Just at a Delta Health clinic

Both hospital and clinic care

Neither hospital nor clinic care

Only if in an emergency 

5.If yes, and if you so desire, please list the top two or three things you would like us to improve or change.

6.How satisfied are you with your overall experience at our hospital?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

7.Would you recommend Delta Health to others?

Definitely yes

Probably yes

Not sure

Probably not

Definitely not