Serenity Hospice Portland Partner Survey

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* 1. Would you trust Serenity Hospice to care for your loved one?

Yes

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* 2. How convenient is it to refer your patient to Serenity Hospice?

The easiest in town

Comparable to other hospices

Harder than it should be

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* 3. Are you pleased with the timeliness of our admission of your patients?

Very pleased

Average

Too slow

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* 4. Are we communicating appropriately with you while your patient is on our service?

Communicating the proper amount

Communicating too much

Communicating too little

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* 5. Which aspects of our service stand out to you as exceptional? (Choose all that apply.)

Clinical Excellence

Knowledge / Education

Communication

Responsiveness

Ease of referral process

Overall Professionalism

Veteran Care

Complementary Alternative Modalities

Nurses

Aides

Chaplains

Social Workers

Community Liaisons

Volunteers

Office Staff

Other (please specify)

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* 6. Do you have an additional comments you would like to share?

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* 7. Please let us know the type of care setting you work in.

Living Facility

Physician Practice

Hospital

Other

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* 1. Would you trust Serenity Hospice to care for your loved one?

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* 2. How convenient is it to refer your patient to Serenity Hospice?

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* 3. Are you pleased with the timeliness of our admission of your patients?

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* 4. Are we communicating appropriately with you while your patient is on our service?

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* 5. Which aspects of our service stand out to you as exceptional? (Choose all that apply.)

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* 6. Do you have an additional comments you would like to share?

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* 7. Please let us know the type of care setting you work in.

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* 8. Please give us your name and the name of your company.