Beacon Transfer Center Survey
Sign in to Google to save your progress. Learn more
What facility are you from? *
What type of patients do you typically refer to Beacon Health System?
*
How often do you refer patients to Beacon Health System?
*
How satisfied are you with the patient bed placement process at Beacon Health System?
*
Poor
Completely Satisfied
How easy is communicating with Beacon Transfer Center?
*
Poor
Completely Satisfied
Have you experienced any issues with patient bed placement at Beacon Health System? If so, please describe.
How could Beacon Health System improve the patient bed placement process?
How likely are you to continue referring patients to Beacon Health System in the future?
*
Not Likely
Extremely Likely
Are there any additional feedback or comments you would like to provide regarding patient bed placement at Beacon?
If you would like personal follow-up please leave your name and preferred method of contact. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report