SurveyMonkey Powered Online Survey

Providing excellent service and care is a top priority at Hope Network Neuro Rehabilitation and you play an important part in our continued success.

Please provide your input regarding your experience with our program and services. Your feedback will be used for quality improvement, strategic planning, and program development purposes. Your responses will be anonymous unless you provide your identifying information.

Thank you. For questions or concerns, please email our Quality Department at NRQuality@hopenetwork.org.

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
The information provided about the program was/is accurate and useful:	The information provided about the program was/is accurate and useful: Strongly Agree	The information provided about the program was/is accurate and useful: Agree	The information provided about the program was/is accurate and useful: Disagree	The information provided about the program was/is accurate and useful: Strongly Disagree	The information provided about the program was/is accurate and useful: N/A
I had the opportunity to provide input in my client's program:	I had the opportunity to provide input in my client's program: Strongly Agree	I had the opportunity to provide input in my client's program: Agree	I had the opportunity to provide input in my client's program: Disagree	I had the opportunity to provide input in my client's program: Strongly Disagree	I had the opportunity to provide input in my client's program: N/A
Hope Network Neuro Rehabilitation provided clear goals and objectives:	Hope Network Neuro Rehabilitation provided clear goals and objectives: Strongly Agree	Hope Network Neuro Rehabilitation provided clear goals and objectives: Agree	Hope Network Neuro Rehabilitation provided clear goals and objectives: Disagree	Hope Network Neuro Rehabilitation provided clear goals and objectives: Strongly Disagree	Hope Network Neuro Rehabilitation provided clear goals and objectives: N/A
The progress reports were timely, informative and concise:	The progress reports were timely, informative and concise: Strongly Agree	The progress reports were timely, informative and concise: Agree	The progress reports were timely, informative and concise: Disagree	The progress reports were timely, informative and concise: Strongly Disagree	The progress reports were timely, informative and concise: N/A
I am satisfied with the outcomes/progress my client experienced as a result of receiving services:	I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Strongly Agree	I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Agree	I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Disagree	I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Strongly Disagree	I am satisfied with the outcomes/progress my client experienced as a result of receiving services: N/A
The program was cost effective for the outcomes achieved:	The program was cost effective for the outcomes achieved: Strongly Agree	The program was cost effective for the outcomes achieved: Agree	The program was cost effective for the outcomes achieved: Disagree	The program was cost effective for the outcomes achieved: Strongly Disagree	The program was cost effective for the outcomes achieved: N/A
Hope Network teams are professional and highly knowledgeable:	Hope Network teams are professional and highly knowledgeable: Strongly Agree	Hope Network teams are professional and highly knowledgeable: Agree	Hope Network teams are professional and highly knowledgeable: Disagree	Hope Network teams are professional and highly knowledgeable: Strongly Disagree	Hope Network teams are professional and highly knowledgeable: N/A

Strongly Agree

Agree

Disagree

Strongly Disagree

N/A

The information provided about the program was/is accurate and useful:

The information provided about the program was/is accurate and useful: Strongly Agree

The information provided about the program was/is accurate and useful: Agree

The information provided about the program was/is accurate and useful: Disagree

The information provided about the program was/is accurate and useful: Strongly Disagree

The information provided about the program was/is accurate and useful: N/A

I had the opportunity to provide input in my client's program:

I had the opportunity to provide input in my client's program: Strongly Agree

I had the opportunity to provide input in my client's program: Agree

I had the opportunity to provide input in my client's program: Disagree

I had the opportunity to provide input in my client's program: Strongly Disagree

I had the opportunity to provide input in my client's program: N/A

Hope Network Neuro Rehabilitation provided clear goals and objectives:

Hope Network Neuro Rehabilitation provided clear goals and objectives: Strongly Agree

Hope Network Neuro Rehabilitation provided clear goals and objectives: Agree

Hope Network Neuro Rehabilitation provided clear goals and objectives: Disagree

Hope Network Neuro Rehabilitation provided clear goals and objectives: Strongly Disagree

Hope Network Neuro Rehabilitation provided clear goals and objectives: N/A

The progress reports were timely, informative and concise:

The progress reports were timely, informative and concise: Strongly Agree

The progress reports were timely, informative and concise: Agree

The progress reports were timely, informative and concise: Disagree

The progress reports were timely, informative and concise: Strongly Disagree

The progress reports were timely, informative and concise: N/A

I am satisfied with the outcomes/progress my client experienced as a result of receiving services:

I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Strongly Agree

I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Agree

I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Disagree

I am satisfied with the outcomes/progress my client experienced as a result of receiving services: Strongly Disagree

I am satisfied with the outcomes/progress my client experienced as a result of receiving services: N/A

The program was cost effective for the outcomes achieved:

The program was cost effective for the outcomes achieved: Strongly Agree

The program was cost effective for the outcomes achieved: Agree

The program was cost effective for the outcomes achieved: Disagree

The program was cost effective for the outcomes achieved: Strongly Disagree

The program was cost effective for the outcomes achieved: N/A

Hope Network teams are professional and highly knowledgeable:

Hope Network teams are professional and highly knowledgeable: Strongly Agree

Hope Network teams are professional and highly knowledgeable: Agree

Hope Network teams are professional and highly knowledgeable: Disagree

Hope Network teams are professional and highly knowledgeable: Strongly Disagree

Hope Network teams are professional and highly knowledgeable: N/A

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
The information I received during the referral process accurately reflected the program and/or services:	The information I received during the referral process accurately reflected the program and/or services: Strongly Agree	The information I received during the referral process accurately reflected the program and/or services: Agree	The information I received during the referral process accurately reflected the program and/or services: Disagree	The information I received during the referral process accurately reflected the program and/or services: Strongly Disagree	The information I received during the referral process accurately reflected the program and/or services: N/A
The admissions team followed through as needed in a timely manner:	The admissions team followed through as needed in a timely manner: Strongly Agree	The admissions team followed through as needed in a timely manner: Agree	The admissions team followed through as needed in a timely manner: Disagree	The admissions team followed through as needed in a timely manner: Strongly Disagree	The admissions team followed through as needed in a timely manner: N/A
The admissions team is knowledgeable about the programs and services we provide:	The admissions team is knowledgeable about the programs and services we provide: Strongly Agree	The admissions team is knowledgeable about the programs and services we provide: Agree	The admissions team is knowledgeable about the programs and services we provide: Disagree	The admissions team is knowledgeable about the programs and services we provide: Strongly Disagree	The admissions team is knowledgeable about the programs and services we provide: N/A
I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial:	I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Strongly Agree	I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Agree	I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Disagree	I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Strongly Disagree	I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: N/A
Overall, I am satisfied with the quality of service and communication during the referral process:	Overall, I am satisfied with the quality of service and communication during the referral process: Strongly Agree	Overall, I am satisfied with the quality of service and communication during the referral process: Agree	Overall, I am satisfied with the quality of service and communication during the referral process: Disagree	Overall, I am satisfied with the quality of service and communication during the referral process: Strongly Disagree	Overall, I am satisfied with the quality of service and communication during the referral process: N/A
I will continue referring patients to Hope Network Neuro Rehabilitation:	I will continue referring patients to Hope Network Neuro Rehabilitation: Strongly Agree	I will continue referring patients to Hope Network Neuro Rehabilitation: Agree	I will continue referring patients to Hope Network Neuro Rehabilitation: Disagree	I will continue referring patients to Hope Network Neuro Rehabilitation: Strongly Disagree	I will continue referring patients to Hope Network Neuro Rehabilitation: N/A

Strongly Agree

Agree

Disagree

Strongly Disagree

N/A

The information I received during the referral process accurately reflected the program and/or services:

The information I received during the referral process accurately reflected the program and/or services: Strongly Agree

The information I received during the referral process accurately reflected the program and/or services: Agree

The information I received during the referral process accurately reflected the program and/or services: Disagree

The information I received during the referral process accurately reflected the program and/or services: Strongly Disagree

The information I received during the referral process accurately reflected the program and/or services: N/A

The admissions team followed through as needed in a timely manner:

The admissions team followed through as needed in a timely manner: Strongly Agree

The admissions team followed through as needed in a timely manner: Agree

The admissions team followed through as needed in a timely manner: Disagree

The admissions team followed through as needed in a timely manner: Strongly Disagree

The admissions team followed through as needed in a timely manner: N/A

The admissions team is knowledgeable about the programs and services we provide:

The admissions team is knowledgeable about the programs and services we provide: Strongly Agree

The admissions team is knowledgeable about the programs and services we provide: Agree

The admissions team is knowledgeable about the programs and services we provide: Disagree

The admissions team is knowledgeable about the programs and services we provide: Strongly Disagree

The admissions team is knowledgeable about the programs and services we provide: N/A

I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial:

I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Strongly Agree

I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Agree

I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Disagree

I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: Strongly Disagree

I am satisfied with the length of time from my referral to receiving a decision regarding the status of my patient’s admission or denial: N/A

Overall, I am satisfied with the quality of service and communication during the referral process:

Overall, I am satisfied with the quality of service and communication during the referral process: Strongly Agree

Overall, I am satisfied with the quality of service and communication during the referral process: Agree

Overall, I am satisfied with the quality of service and communication during the referral process: Disagree

Overall, I am satisfied with the quality of service and communication during the referral process: Strongly Disagree

Overall, I am satisfied with the quality of service and communication during the referral process: N/A

I will continue referring patients to Hope Network Neuro Rehabilitation:

I will continue referring patients to Hope Network Neuro Rehabilitation: Strongly Agree

I will continue referring patients to Hope Network Neuro Rehabilitation: Agree

I will continue referring patients to Hope Network Neuro Rehabilitation: Disagree

I will continue referring patients to Hope Network Neuro Rehabilitation: Strongly Disagree

I will continue referring patients to Hope Network Neuro Rehabilitation: N/A

Medical Professional Satisfaction Survey

Question Title

* My responses are for this location:

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* Please indicate your relationship to Hope Network Neuro Rehabilitation patient(s)/client(s) served:

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* My responses are for this program:

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* My overall satisfaction with Hope Network is:

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* Based on your most recent experience with Hope Network, please rate the following:

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* Regarding your experience with our Admissions Team during the referral process, please rate the following: