NOSH Community Programs
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1.
Please identify from which NOSH site you accessed a community program
(Required.)
Wilson Memorial General Hospital
The McCausland Hospital
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2.
Please indicate which community service you will be providing feedback on
(Required.)
Meals on Wheels
Opioid Prescribing Program
Assisted Living Program
Seniors Van
Snow Removal
Seniors Day Away
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3.
Overall, how wold you rate the care and services you received?
(Required.)
Very Satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Completely Dissatisfied
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4.
Would you recommend this program to others?
(Required.)
Yes, definitely
Yes, I think so
No, I don’t think so
No, definitely not
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5.
How often do you feel staff treat you with dignity and respect?
(Required.)
Always
Usually
Sometimes
Never
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6.
Do you feel you have enough say in planning your care?
(Required.)
Yes, definitely
Yes, I think so
No, I don’t think so
No, definitely not
N/A
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7.
How often does staff listen carefully to you?
(Required.)
Always
Usually
Sometimes
Never
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8.
Did staff help you to access other services and supports available?
(Required.)
Yes, definitely
Yes, I think so
No, I don’t think so
No, definitely not
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9.
How would you rate the overall quality of the food?
(Required.)
Excellent
Good
Fair
Poor
Not applicable
10.
What more can we do to improve the quality of care you have received?
