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Satisfaction Survey

This Satisfaction Survey is intended to be utilized by our guests, their families and recent visitors. If you need assistance or have questions, please contact us today.

Satisfaction Survey

1 Contact Information

2 Admission & Discharge

3 Nursing Home Life

4 Review & Submit

Your Name*
First Last
Your Email Address*

You were oriented and welcomed by staff members upon admission*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
You were informed about services and resources available to the family caregiver during the residents stay*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
The admission contract was explained thoroughly*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
You were given an explanation of the process the insurance company will use to determine the services that are used during the stay*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
You feel you were provided with adequate time to make an informed decision and preparation prior to discharge and/or transfer*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
You were provided and asked about information for community resources, such as home health, medical equipment needs, homemaking services, lifeline, etc.*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
General Comments

The call light was answered in an appropriate amount of time*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
We were provided with good food choices including a daily substitute*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
Culinary Comments
We were provided an eclectic array of activities*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
Activities Comments
Facility was clean, organized and provided a homelike environment.*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
Facility Comments
The communication with resident/representative, nursing staff, physician and department managers was appropriate and responded in a timely fashion.*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
Overall I think Eastwood Nursing Center staff pays attention to the resident and family’s needs.*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
Overall I think residents and families are satisfied with the services, support, and information that they receive.*
- Strongly Agree
- Agree
- N / A
- Disagree
- Strongly Disagree
Additional comments including what we can improve upon:

Review & Submit Survey

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