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Patient Satisfaction Survey
Patient Satisfaction Survey
Please provide some feedback on your experience at Bon Secours Cork using the form below:
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Satisfaction Survey
Please rate our hospital personnel
Which ward/department did you attend?
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St. Anthony's
St. Bernadette's
St. Brendan's
St. Brigit's
Children's Ward
St. Coleman's
St. Elizabeth's
St. Finbarr's
ICU/CCU
St. Joseph's
St. Martha's
St. Mary's
Medical HDU
St. Michael's
St. Oliver's
St. Patrick's
Sacred Heart
Surgical HDU
St. Veronica's
Cardiology
Endoscopy
Health Screening
Outpatients
Pathology
Theatre
X-Ray
Physiotherapy
Courteous
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Excellent
Very Good
Good
Fair
Poor
Competence
*
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Excellent
Very Good
Good
Fair
Poor
Attitude
*
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Excellent
Very Good
Good
Fair
Poor
Caring
*
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Excellent
Very Good
Good
Fair
Poor
Appearance
*
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Excellent
Very Good
Good
Fair
Poor
Overall
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Excellent
Very Good
Good
Fair
Poor
Comment on Personnel
*
Please rate our cleanliness
Cleanliness
Satisfied
Dissatisfied
Comment on Cleanliness
Please rate our food
Food Quality
Please rate the food quality
Satisfied
Dissatisfied
Admission
On Admission were you asked if you had any dietary requirements?
Yes
No
Food Comments
Please rate the information you received
How satisfied were you with the information you received on the course of your treatment during your hospital stay?
Information
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Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Neither
Comments
Please rate your visit to X-ray
X-ray Visit
During your stay did you attend the X-ray Department?
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Yes
No
Waiting Time
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Very Good
Good
Fair
Poor
Very Poor
Explanation of Tests
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Very Good
Good
Fair
Poor
Very Poor
X-ray Comments
Please rate your visit to Pathology
Explanation of Lab Tests
Please rate the explanation you were given of tests and results
>
Very Good
Good
Fair
Poor
Very Poor
Lab Comments
Please rate the Hospital Overall
Expectations
How satisfied are you that Bon Secours Hospital met your overall expectations following your recent treatment?
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Very Good
Good
Fair
Poor
Very Poor
Recommendation
Would you recommend Bon Secours to others?
Yes
No
Lab Comments
Please rate how the hospital managed your Identity & Confidentiality
Confidentiality Protected
Would you recommend Bon Secours to others?
Yes
No
Identity confirmed
Was your identity confirmed prior to any treatment or procedure?
Yes
No
Identity and Confidentiality Comments
Please rate the Hospital Care you received
Care
How satisfied were you with the care you received?
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Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Neither
Discharge Date
Did you receive adequate notice of your discharge date?
Yes
No
Instructions for home
Did you receive adequate instructions on how to care for yourself at home?
Yes
No
Informed of Benefits and Risks
Were you informed of the benefits and risks of your treatment?
Yes
No
Hospital Care Comments
Please give us your overall comments and details
Comments & Suggestions
Please comment on any suggestions about where services provided by the hospital could be improved.
Phone Number
Please provide your phone number (optional)
Email
Please provide your email address (optional)
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