Quality Care Questionnaire General Questions Question Title * 1. Your room number Question Title * 2. Date your baby was born Question Title * 3. Date of discharge Question Title * 4. How many days were you in hospital after your baby was born? Question Title * 5. Would you like the manager to call you to discuss your concerns yes no Please provide your email if you would like an opportunity for family care participation Question Title * 6. Your name, address and telephone number Name: Address 1: City/Town: State/Province: ZIP/Postal Code: Country: Email Address: Phone Number: Please feel free to email qualityquestionnaire@sunnybrook.ca with any concerns or suggestions 5% of survey complete. Next