Thank you for participating in this survey, your opinion matters to us and will help us to serve you in the future.  

 

INTRODUCTION:

We are interested in your thoughts and impressions of our Hospital and the services we offer. We want to know what you would like to see us do to improve how we meet your healthcare needs. Your opinions are valuable to us and we hope that you will feel free to share you opinions as openly and honestly as possible.

 

 
DEMOGRAPHIC QUESTIONS:
 
1.What’s your age?
 
2. What’s your race?
  3. Which hospital are you commenting on?  
  4. Which County do you reside in?  

 
IMAGE QUESTIONS:
 
1. What kind of image do you think the hospital has in your circle of friends, family, or community?
 
2. Do you think that the hospital is meeting the needs of the residents in your County ?
Yes         No
 
3. What does the hospital do the best?
 
4. What do you like most about the hospital?
 
5. The last time you utilized the hospital, why did you choose this hospital?
 

PHYSICIAN QUESTIONS:
 

1.  Do you use a family doctor for most of your routine family care?

Yes      No
 
2.  If you use a family doctor outside of your County , why?
 
3.  Are you able to get an appointment with your family doctor when you need one?
Yes      No
 
4.  Do you think there are enough doctors in your County ?
Yes      No
 
5.  Do you think additional specialists are needed in your County ?
Yes      No
 

6.  What specialties are needed in your County ?


Dermatology Pediatrics
Cardiologist Surgeon
Orthopedic Surgeon OB/GYN
Ophthalmologist Oncologist
Internal Medicine
Endocrinologist 		Oral Surgeon
Mental Health Professionals Ear, Nose, and Throat Specialist
Neurologist Rheumatologist
Gerontologist Urologist
Allergist Gastroenterologist
Pulmonologist  
 

SERVICE QUESTIONS:

 
1.  What health insurance covers you and your family?
 
2.  If you do not have health insurance coverage, which describes best why?



 
3.  What services would you like to see the hospital offer?
 
4.  What services did you use on your last visit to the hospital?
 
5.  What topics do you feel that our community needs additional educational resources on?
 
6.  Where do you get most of your medical information?