Thank you for using the Rehabilitation services at ESH.  We realize that you have many choices available to you when making health care choices for your family.  We appreciate the fact you chose our hospital and want to make sure your visit met or exceeded your expectations.  Please take a moment to complete this brief survey. 
 
Your thoughts will help us provide better service to all of our patients in the future!

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* 1. What was your overall opinion of our rehab facility?

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* 2. Was this your first visit to our department?

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* 3. Would you choose our facility again?

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* 4. Would you recommend this facility to your friends and family?

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* 5. What type of Rehabilitation service did you receive?

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* 6. The rehab receptionist that admitted you was friendly and efficient.

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* 7. The therapist who worked with you was compassionate, caring and engaged in your therapy.

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* 8. When you asked questions did you get enough information from the staff?

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* 9. The staff spent time talking with you and listened to your needs and goals.

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* 10. The cleanliness of the Rehabilitation department was:

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* 11. Were you provided with written instruction sheets?

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* 12. Were you scheduled with consistent therapists?

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* 13. Was your therapy a result of a work related injury and covered under Workers Compensation?

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* 14. If so, did you return back to work?

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* 15. Did you achieve your therapy goal?

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* 16. Was your pain level decreased upon discharge?

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* 17. Adequate precautions were taken for your safety.

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* 18. Did you have any concerns or questions that were not addressed to your satisfaction?

Thank you for taking the time to fill out our survey so that we may improve services to our patients. Your suggestions are very important to us. The following questions are optional.

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* 19. Address

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* 20. Gender Identity/Age

  under 18 years 18-30 years 31-45 years 46-65 years 66 years and over
Male
Female

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* 21. Your wait time was:

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* 22. Please share with us any additional comments, the name of a staff member who was helpful, or an enjoyable experience you had during outpatient therapy.

If you have additional information or concerns please feel free to contact :
     Director of Rehabilitation
     816-629-2771

     
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