NOSH Foodservice Patient Satisfaction Survey
*
1.
Please indicate from which NOSH site you accessed foodservice:
(Required.)
Wilson Memorial General Hospital
The McCausland Hospital
*
2.
Were/are you admitted to:
(Required.)
Wilkes Terrace (LTC)
Continuing Complex Care (CCC)
Acute
ALC
*
3.
The hospital food has been as good as I expected
(Required.)
Always
Often
Sometimes
Rarely
Never
*
4.
The staff who deliver my meals are neat and clean
(Required.)
Always
Often
Sometimes
Rarely
Never
*
5.
The drinks provided are the appropriate temperature
(Required.)
Always
Often
Sometimes
Rarely
Never
Additional Comments:
*
6.
I like the way the vegetables are prepared
(Required.)
Always
Often
Sometimes
Rarely
Never
*
7.
The meals taste good
(Required.)
Always
Often
Sometimes
Rarely
Never
Additional Comments:
*
8.
The staff who take away my finished meal tray are friendly and polite
(Required.)
Always
Often
Sometimes
Rarely
Never
*
9.
The foods provided are the appropriate temperature
(Required.)
Always
Often
Sometimes
Rarely
Never
Additional Comments:
*
10.
The meals have excellent and distinct flavours
(Required.)
Always
Often
Sometimes
Rarely
Never
*
11.
The hot foods are just the right temperature
(Required.)
Always
Often
Sometimes
Rarely
Never
*
12.
The meat is tough and dry
(Required.)
Always
Often
Sometimes
Rarely
Never
*
13.
I still feel hungry after my meal
(Required.)
Always
Often
Sometimes
Rarely
Never
*
14.
I feel hungry in between meals
(Required.)
Always
Often
Sometimes
Rarely
Never
*
15.
The food was prepared according to my specific dietary needs
(Required.)
Always
Often
Sometimes
Rarely
Never
Additional Comments:
*
16.
The food on my plate looks appetizing (eg. I can tell what exactly is on my plate)
(Required.)
Always
Often
Sometimes
Rarely
Never
Additional Comments:
*
17.
I enjoy the types of food being provided
(Required.)
Always
Usually
Sometimes
Rarely
Never
Additional Comments:
*
18.
Overall, how would you rate your satisfaction with the foodservice
(Required.)
Exceeded expectations
Met expectations
Below expectations
*
19.
Please feel free to leave any other comments about the hospital foodservice
(Required.)