Adult Inpatient Experience Survey
Please answer the questions about your recent stay at the Atikokan General Hospital.  Do not include any other hospital stays in our answers.
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Do you feel that there was good communication about your care between doctors, nurses and other hospital staff?
During this hospital stay, did you get all the information you needed about your condition and treatment?
Did you get the support you needed to help you with any anxieties, fears or worries you had during your hospital stay?
Were you involved as much as you wanted to be in decisions about your care and treatment?
Were you able to get a member of hospital staff to help you when you needed attention?
Before you left the hospital, did you have a clear understanding about all of your prescribed medications, including those you were taking before your hospital stay?
Did you receive enough information from hospital staff about what to do if you were worried about your condition or treatment after you left the hospital?
Did you enjoy your meals?
Based on the needs of your diet that was ordered during your stay, did you receive enough food on each tray?
Comments on Food Services
Were you satisfied with the cleanliness of your room during your stay?
Did the housekeeper(s) act in a professional and courteous manner while cleaning your room?
Comments on Housekeeping Services:
Are you aware of how to file a complaint?
If you are aware of the complaint process, did you file a complaint in the last year?
If you filed a complaint, did you receive a response in a timely manner? *
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Overall (Please check a number)
I had a very poor experience
I had a very good experience
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What else would you like to say about this inpatient experience? (please do not include any names, contact information, or identifying information)
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