SurveyMonkey Powered Online Survey

Patient Satisfaction 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.

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* My responses are for this location:

East Lansing

Grand Rapids

Kalamazoo

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* My responses are for this program:

Transitional Inpatient Rehabilitation

Residential Living

Apartment Program

Hope at Home

Outpatient Rehabilitation

Transitional Day Rehab

Physician Services

Vocational/Return to Work Services

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* My overall satisfaction with Hope Network is:

Excellent

Good

Fair

Poor

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

	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
The information I received about my program was/is accurate and useful:	The information I received about my program was/is accurate and useful: Strongly Agree	The information I received about my program was/is accurate and useful: Agree	The information I received about my program was/is accurate and useful: Disagree	The information I received about my program was/is accurate and useful: Strongly Disagree	The information I received about my program was/is accurate and useful: N/A
I was/am involved in the decisions made around my program:	I was/am involved in the decisions made around my program: Strongly Agree	I was/am involved in the decisions made around my program: Agree	I was/am involved in the decisions made around my program: Disagree	I was/am involved in the decisions made around my program: Strongly Disagree	I was/am involved in the decisions made around my program: N/A
There are opportunities for my loved one(s) involvement (if applicable):	There are opportunities for my loved one(s) involvement (if applicable): Strongly Agree	There are opportunities for my loved one(s) involvement (if applicable): Agree	There are opportunities for my loved one(s) involvement (if applicable): Disagree	There are opportunities for my loved one(s) involvement (if applicable): Strongly Disagree	There are opportunities for my loved one(s) involvement (if applicable): N/A
I was/am treated with dignity and respect:	I was/am treated with dignity and respect: Strongly Agree	I was/am treated with dignity and respect: Agree	I was/am treated with dignity and respect: Disagree	I was/am treated with dignity and respect: Strongly Disagree	I was/am treated with dignity and respect: N/A
I met/am meeting my goals and achieved/am achieving an increased level of independence:	I met/am meeting my goals and achieved/am achieving an increased level of independence: Strongly Agree	I met/am meeting my goals and achieved/am achieving an increased level of independence: Agree	I met/am meeting my goals and achieved/am achieving an increased level of independence: Disagree	I met/am meeting my goals and achieved/am achieving an increased level of independence: Strongly Disagree	I met/am meeting my goals and achieved/am achieving an increased level of independence: N/A
I have access to high quality staff, services and support:	I have access to high quality staff, services and support: Strongly Agree	I have access to high quality staff, services and support: Agree	I have access to high quality staff, services and support: Disagree	I have access to high quality staff, services and support: Strongly Disagree	I have access to high quality staff, services and support: N/A
Hope Network provides a clean, comfortable and safe environment:	Hope Network provides a clean, comfortable and safe environment: Strongly Agree	Hope Network provides a clean, comfortable and safe environment: Agree	Hope Network provides a clean, comfortable and safe environment: Disagree	Hope Network provides a clean, comfortable and safe environment: Strongly Disagree	Hope Network provides a clean, comfortable and safe environment: N/A