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  1. Surveys
  2. 2014
  3. June
  4. F
  5. Family Satisfaction Survey
0%
Exit Survey
 
 
Please complete this survey from your family member's stay in the Mountain Vista Generations program. Thank you for your time and for allowing us to care for your loved one.
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
The comfort of your family member's room:
The cleanliness of your family member's room and bathroom:
The manner in which the rules about items your family member could have was explained to you:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well the nurses treated your family member with courtesy and respect:
How well the nurses listened to your concerns and questions:
How well the nurses communicated any changes in meds or your family member's condition:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well the Doctors treated you and your family member with courtesy and respect:
How well the Doctors listened and answered your questions in an understandable way:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well you were made to feel welcomed when you came to visit your family member:
How well the unit visiting hours and policies were explained to you in a respectful manner:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well you were included in your family member's treatment and discharge planning:
How well the Social Services staff treated you and your family member with courtesy and respect:
How well your family member's discharge plan and appointments were explained to you:
How beneficial weekly staffing meetings with the doctor and team were for you and your family:
 
 
Please answer the following:
Yes No Not Sure
Would your family have benefited from additional family therapy sessions?
Would your family have benefited from a family support group (with other families)?
 
 
 
If a family support group was offered - when would you be most available to attend? (Check all that apply)
 
Weekdays
 
Weeknights
 
Weekend Days
 
Weekend Evenings
 
Other
 

 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent
Your overall rating of your family member's care recieved at Mountain Vista Generations:
 
 
Please rate the following:
Unlikely Unsure Very Likely
How likely are you to recommend Mountain Vista Generations program to others:
 
 
 
Please give us any other feedback here:
   
 
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