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Questions marked with an asterisk (*) are mandatory.
Welcome to Kissito Healthcare's online survey tool. Below you will see a set of questions that will help the organization determine
the level of our patients' satisfaction. These results will help us all to improve our care and level of service to our patients. Please begin.
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1
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* Please select the facility your patient resides
| Alleghany |
| Alleghany- ALF |
| Bland |
| Botetourt |
| Botetourt- RCU |
| Cane Island |
| Hondo |
| Hot Springs |
| Maple Grove |
| Palm View |
| Trinity Haven |
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2
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* Please enter the name and position of employee who completed the survey
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3
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* Please enter the date and time patient was surveyed
| Month | Day | Year | Time |
| Date/Time | | | | |
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4
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* Overall, I am satisfied with the facility
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5
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Please share additional comments from previous question:
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6
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* I would recommend this facility to a family member or friend
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7
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Please share additional comments from previous question:
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8
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* If I had to choose again, I would choose this facility
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9
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Please share additional comments from previous question:
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Staff Satisfaction (Nursing, Activity, Social Services,
Therapy)
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10
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* I believe that the Nursing staff have the proper skills to handle
my needs
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11
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Please share additional comments from previous question:
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12
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* I get my medications on time
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13
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Please share additional comments from previous question:
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14
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* Someone usually answers my call bell promptly
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15
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Please share additional comments from previous question:
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16
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* A good variety of activities are available
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17
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Please share additional comments from previous question:
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18
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* Social Services follows up and responds quickly to requests
and problems
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19
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Please share additional comments from previous question:
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20
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* Overall, I am satisfied with the care provided by the therapists
(physical, occupational and/or speech)
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21
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Please share additional comments from previous question:
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22
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* Food is tasty, satisfying and looks appealing
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23
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Please share additional comments from previous question:
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24
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* Food is served as hot or cold as it should be
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25
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Please share additional comments from previous question:
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