Exit this survey General Public Satisfaction Survey-WEB 1. Satisfaction Survey Question Title * 1. When you called, how did you get the IPC's telephone number? Internet Directory assistance (e.g. 411) Physician's office Local Hospital Pharmacy 911 Poison Center materials (sticker, magnet, etc) Advice line (e.g. Ask-a-nurse) Friend or family member Media (radio/TV/newspaper) Phone Book Other, please specify Question Title * 2. Was the poison center staff member who answered your call polite? Yes No Comments Question Title * 3. Were the instructions given by the poison center staff clear? Yes No Comments Question Title * 4. Were the instructions given by the poison center staff easy to follow? Yes No Comments Question Title * 5. Did the Poison Center staff member offer you the following information? Yes No Signs and symptoms to watch for Signs and symptoms to watch for Yes Signs and symptoms to watch for No Time frame to watch for signs/symptoms Time frame to watch for signs/symptoms Yes Time frame to watch for signs/symptoms No Advice on what to give or do for the patient Advice on what to give or do for the patient Yes Advice on what to give or do for the patient No Follow-up call schedule Follow-up call schedule Yes Follow-up call schedule No I was instructed to go to the emergency department I was instructed to go to the emergency department Yes I was instructed to go to the emergency department No Comments Question Title * 6. How would you rate the overall service provided by the IPC? Excellent Good Fair Poor Comments Question Title * 7. Would you call the Illinois Poison Center again for a poisoning? Yes No Comments Question Title * 8. What would you have done if you were not able to contact a poison center? Call 911 Call the doctor Call the emergency room Visit the emergency room Visit an urgent care center Call nurse help line Search the internet for information Wait and see Other (please specify) Question Title * 9. When you called, were you offered a complimentary packet of poison prevention information including IPC stickers and magnets? (If not, please click here to request one: http://illinoispoisoncenter.org/Request_a_Complimentary_Packet) Yes No Question Title * 10. What type of insurance does the caller have? Private/Commercial (e.g. Blue Cross Blue Shield, Aetna, etc) Medicare Medicaid Uninsured/self-pay Would rather not answer Other (please specify) Next