The Ronald McDonald House Charities of Greater Delaware
Family Exit Survey

Haga clic aquí para completar la encuesta en español.

Thank you for agreeing to complete our Family Exit Survey. Your answers are completely confidential - unless you choose to be contacted by management - and will be used to enhance our services to families

Note that giving feedback in this survey will take approximately 7-9 minutes.

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* Prior to this stay, have you stayed at the Delaware Ronald McDonald House in the past month?

Yes

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* How would your family have been impacted if the Ronald McDonald House did not exist?

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* What was your room number?

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* Was everything in your room in working order?

Yes

If you answered no, please explain:

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* How long was your stay at The Ronald McDonald House?

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* How many people stayed at the Ronald McDonald House?

	Number
Adults	Adults Number menu
Children	Children Number menu

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* When you are AT HOME (NOT at the Ronald McDonald House), how confident are you in your ability to consistently access enough healthy food for your family?

Never confident

Rarely confident

Usually confident

Always confident

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* DURING YOUR STAY at the Ronald McDonald House, how confident were you in your ability to consistently access enough healthy food for your family?

Never confident

Rarely confident

Usually confident

Always confident

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* On a scale of 1-5, how satisfied were you with the quality of meals provided during your stay?

Very Poor

Poor

Average

Good

Very Good

N/A

Very Poor

Poor

Average

Good

Very Good

N/A

Comments

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* Did your family use any of the following services offered by the House?

Van Rides

Hospital Shuttle

Family Activities (i.e. pet therapy, arts and crafts, BINGO)

Treasure Chest

Coupons and Tickets to Local Attractions

Multi-Sensory Room

Lactation Room

Pool Table

Exercise Room

Haircuts

Teen Room (Basement)

Computers in Common Areas

Question Title

* Environment/ Atmosphere
Please tell us how you would rate your experience at the Delaware Ronald McDonald House in each of the areas below.

	Very Poor	Poor	Average	Good	Very Good	N/A
The cleanliness of your room and bathroom	The cleanliness of your room and bathroom Very Poor	The cleanliness of your room and bathroom Poor	The cleanliness of your room and bathroom Average	The cleanliness of your room and bathroom Good	The cleanliness of your room and bathroom Very Good	The cleanliness of your room and bathroom N/A
The comfort of your room and bathroom	The comfort of your room and bathroom Very Poor	The comfort of your room and bathroom Poor	The comfort of your room and bathroom Average	The comfort of your room and bathroom Good	The comfort of your room and bathroom Very Good	The comfort of your room and bathroom N/A
The cleanliness of the kitchens	The cleanliness of the kitchens Very Poor	The cleanliness of the kitchens Poor	The cleanliness of the kitchens Average	The cleanliness of the kitchens Good	The cleanliness of the kitchens Very Good	The cleanliness of the kitchens N/A
The cleanliness of the common areas	The cleanliness of the common areas Very Poor	The cleanliness of the common areas Poor	The cleanliness of the common areas Average	The cleanliness of the common areas Good	The cleanliness of the common areas Very Good	The cleanliness of the common areas N/A
The noise level during quiet hours (9p-9a) in and around your room	The noise level during quiet hours (9p-9a) in and around your room Very Poor	The noise level during quiet hours (9p-9a) in and around your room Poor	The noise level during quiet hours (9p-9a) in and around your room Average	The noise level during quiet hours (9p-9a) in and around your room Good	The noise level during quiet hours (9p-9a) in and around your room Very Good	The noise level during quiet hours (9p-9a) in and around your room N/A
The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals	The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals Very Poor	The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals Poor	The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals Average	The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals Good	The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals Very Good	The kitchen and the equipment (i.e. pots and pans, pantry?) you needed to prepare your own meals N/A
Availability of meals (provided by others)	Availability of meals (provided by others) Very Poor	Availability of meals (provided by others) Poor	Availability of meals (provided by others) Average	Availability of meals (provided by others) Good	Availability of meals (provided by others) Very Good	Availability of meals (provided by others) N/A
Availability of transportation	Availability of transportation Very Poor	Availability of transportation Poor	Availability of transportation Average	Availability of transportation Good	Availability of transportation Very Good	Availability of transportation N/A
Availability of activities for you and your family	Availability of activities for you and your family Very Poor	Availability of activities for you and your family Poor	Availability of activities for you and your family Average	Availability of activities for you and your family Good	Availability of activities for you and your family Very Good	Availability of activities for you and your family N/A
Hospitality (helpfulness & friendliness) of staff and volunteers	Hospitality (helpfulness & friendliness) of staff and volunteers Very Poor	Hospitality (helpfulness & friendliness) of staff and volunteers Poor	Hospitality (helpfulness & friendliness) of staff and volunteers Average	Hospitality (helpfulness & friendliness) of staff and volunteers Good	Hospitality (helpfulness & friendliness) of staff and volunteers Very Good	Hospitality (helpfulness & friendliness) of staff and volunteers N/A
The safety of the area in and around the Ronald McDonald House	The safety of the area in and around the Ronald McDonald House Very Poor	The safety of the area in and around the Ronald McDonald House Poor	The safety of the area in and around the Ronald McDonald House Average	The safety of the area in and around the Ronald McDonald House Good	The safety of the area in and around the Ronald McDonald House Very Good	The safety of the area in and around the Ronald McDonald House N/A
Your overall experience at the Ronald McDonald House	Your overall experience at the Ronald McDonald House Very Poor	Your overall experience at the Ronald McDonald House Poor	Your overall experience at the Ronald McDonald House Average	Your overall experience at the Ronald McDonald House Good	Your overall experience at the Ronald McDonald House Very Good	Your overall experience at the Ronald McDonald House N/A

Comments on above questions

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* Impact on My Family:
For each area below, please check the box that best describes how your stay at the Ronald McDonald House affected your family.

	Strongly Disagree	Disagree	Neither Agree Nor Disagree	Agree	Strongly Agree
Because of the Ronald McDonald House, I was better able to rest and maintain my physical well being while my child was receiving medical care.	Because of the Ronald McDonald House, I was better able to rest and maintain my physical well being while my child was receiving medical care. Strongly Disagree	Because of the Ronald McDonald House, I was better able to rest and maintain my physical well being while my child was receiving medical care. Disagree	Because of the Ronald McDonald House, I was better able to rest and maintain my physical well being while my child was receiving medical care. Neither Agree Nor Disagree	Because of the Ronald McDonald House, I was better able to rest and maintain my physical well being while my child was receiving medical care. Agree	Because of the Ronald McDonald House, I was better able to rest and maintain my physical well being while my child was receiving medical care. Strongly Agree
While staying at the Ronald McDonald House, I felt emotionally supported from other families staff and volunteers.	While staying at the Ronald McDonald House, I felt emotionally supported from other families staff and volunteers. Strongly Disagree	While staying at the Ronald McDonald House, I felt emotionally supported from other families staff and volunteers. Disagree	While staying at the Ronald McDonald House, I felt emotionally supported from other families staff and volunteers. Neither Agree Nor Disagree	While staying at the Ronald McDonald House, I felt emotionally supported from other families staff and volunteers. Agree	While staying at the Ronald McDonald House, I felt emotionally supported from other families staff and volunteers. Strongly Agree
My ability to stay close by, improved my child's experience at the hospital.	My ability to stay close by, improved my child's experience at the hospital. Strongly Disagree	My ability to stay close by, improved my child's experience at the hospital. Disagree	My ability to stay close by, improved my child's experience at the hospital. Neither Agree Nor Disagree	My ability to stay close by, improved my child's experience at the hospital. Agree	My ability to stay close by, improved my child's experience at the hospital. Strongly Agree
My ability to stay close by improved my child's recovery at the hospital.	My ability to stay close by improved my child's recovery at the hospital. Strongly Disagree	My ability to stay close by improved my child's recovery at the hospital. Disagree	My ability to stay close by improved my child's recovery at the hospital. Neither Agree Nor Disagree	My ability to stay close by improved my child's recovery at the hospital. Agree	My ability to stay close by improved my child's recovery at the hospital. Strongly Agree
I was better able to follow my doctor's recommendations because we were able to stay close to the hospital and my child.	I was better able to follow my doctor's recommendations because we were able to stay close to the hospital and my child. Strongly Disagree	I was better able to follow my doctor's recommendations because we were able to stay close to the hospital and my child. Disagree	I was better able to follow my doctor's recommendations because we were able to stay close to the hospital and my child. Neither Agree Nor Disagree	I was better able to follow my doctor's recommendations because we were able to stay close to the hospital and my child. Agree	I was better able to follow my doctor's recommendations because we were able to stay close to the hospital and my child. Strongly Agree
The Ronald McDonald House helped my family stay together during a very difficult time.	The Ronald McDonald House helped my family stay together during a very difficult time. Strongly Disagree	The Ronald McDonald House helped my family stay together during a very difficult time. Disagree	The Ronald McDonald House helped my family stay together during a very difficult time. Neither Agree Nor Disagree	The Ronald McDonald House helped my family stay together during a very difficult time. Agree	The Ronald McDonald House helped my family stay together during a very difficult time. Strongly Agree

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* Any comments or ideas for how we can improve on any of these services: Handicap Accessibility, Family Services, Family Activities, Transportation or Other?

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* If you are interested in receiving information about The Ronald McDonald House of Delaware, please enter your email below

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* Would you stay at the House again in the future if needed?

Yes

If no, why not?

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* If you would like to be contacted by management to address any of your feedback, please provide your first and last name, email address and phone number.

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* Are you interested in sharing your family's story and photos to be used in print and digital materials like our newsletter, social media, and emails? These materials help spread awareness of our mission and raise funding to support our programs. If yes, please provide your first and last name, email address and phone number.

The Ronald McDonald House Charities of Greater Delaware Family Exit Survey

Question Title

* Prior to this stay, have you stayed at the Delaware Ronald McDonald House in the past month?

Question Title

* How would your family have been impacted if the Ronald McDonald House did not exist?

Question Title

* What was your room number?

Question Title

* Was everything in your room in working order?

Question Title

* How long was your stay at The Ronald McDonald House?

Question Title

* How many people stayed at the Ronald McDonald House?

Question Title

* When you are AT HOME (NOT at the Ronald McDonald House), how confident are you in your ability to consistently access enough healthy food for your family?

Question Title

* DURING YOUR STAY at the Ronald McDonald House, how confident were you in your ability to consistently access enough healthy food for your family?

Question Title

* On a scale of 1-5, how satisfied were you with the quality of meals provided during your stay?

Question Title

* Did your family use any of the following services offered by the House?

Question Title

* Environment/ Atmosphere Please tell us how you would rate your experience at the Delaware Ronald McDonald House in each of the areas below.

Question Title

* Impact on My Family: For each area below, please check the box that best describes how your stay at the Ronald McDonald House affected your family.

Question Title

* Any comments or ideas for how we can improve on any of these services: Handicap Accessibility, Family Services, Family Activities, Transportation or Other?

Question Title

* If you are interested in receiving information about The Ronald McDonald House of Delaware, please enter your email below

Question Title

* Would you stay at the House again in the future if needed?

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* If you would like to be contacted by management to address any of your feedback, please provide your first and last name, email address and phone number.

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* If you are interested in joining RMHC Greater Delaware's email newsletter list, please provide your email address.

The Ronald McDonald House Charities of Greater Delaware
Family Exit Survey

* Environment/ Atmosphere
Please tell us how you would rate your experience at the Delaware Ronald McDonald House in each of the areas below.

* Impact on My Family:
For each area below, please check the box that best describes how your stay at the Ronald McDonald House affected your family.