Baton Rouge Rehab Inpatient Satisfaction Survey

INPATIENT SATISFACTION SURVEY

YOUR OPINION MATTERS! Please help us improve our services by completing this survey.
Instructions: Check the answer that best describes your experience at Baton Rouge Rehab Hospital. If a question does not apply to you, please skip that question. Your honest response will help us improve the care for our patients. There is space provided after each section for you to comment on good or bad things that may have happened to you.

Nursing Care

	Always	Usually	Sometimes	Never
Were your questions answered?
How often was your pain addressed?
Was your call light answered timely?
Did staff respond in a timely manner when you needed assist to the bathroom?
Were you treated with courtesy and respect?

Therapy Care

	Always	Usually	Sometimes	Never
Were your questions answered?

Physician Care

	Always	Usually	Sometimes	Never
Did your physicians answer your questions and keep you informed?

Dietary

	Always	Usually	Sometimes	Never
Were your meals consistent with your menu selections?
Were meals served in a timely manner?

Housekeeping

	Always	Usually	Sometimes	Never
Was your room kept clean?

Discharge Planning

	Yes	No
Do you feel your team prepared you for discharge?

Would you recommend BRRH to a friend or family member for rehabilitation services?

YesNo
Additional Feedback
Please list any comments below that may help the manager address concerns, recognize exceptional team members, etc.:

Personal Information

(Optional)
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
May we use your comments for advertising/marketing purposes, i.e. newsletters, social media? (No name or other identifying information will be sure)

YesNo
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INPATIENT SATISFACTION SURVEY