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Exit Survey
 
 
 

  1. Before
    giving you any new medicine, did hospital staff describe possible side effects
    in a way you could understand?



 
YES
 
NO
 
 
 
 

  1. Did
    you understand exactly what side effects to look for?



 
YES
 
NO
 
 
 
 Did you feel confident that you would be able to
identify symptoms of side effects of all medication given during your stay?
 
YES
 
NO
 
 
 
 

  1. Do
    you know what to do if you experience these side effects?



 
YES
 
NO
 
 
 
 

  1. Are
    you able to repeat the side effects given to you by your care team in the
    hospital?



 
YES
 
NO
 
 
 
 

  1. Did
    your care team make you feel comfortable about asking questions related to your
    medications?



 
YES
 
NO
 
 
 
 

  1. Did
    your care team advise you on how your medical history may contribute to side
    effects?  (kidney failure, liver dx or
    current medication interacting with new medication, or food interaction)



 
YES
 
NO
 
 
 
 

  1. Did
    your care team offer a pharmacist to better explain medication side effects if
    you requested?



 
YES
 
NO