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Questions marked with an * are required Exit Survey
 
 
* Do you and your child feel informed of the plan of care?
 
Yes
 
No add why
 
 
 
 
* Do you and your child agree and understand the plan of care
 
Yes
 
No add why
 

 
 
 
* Do you and your child know how to call your nurse if you need help? When you use the call button are you getting a response as quick as you'd like?
 
Yes
 
No add why
 
 
 
 
* How often did your child's nurse (and/or RT) listen carefully to you and your child?
 
Yes
 
No add why
 
 
 
 
* How often did your child's doctors/PA listen carefully to you and your child?
 
Yes
 
No add why
 
 
 
 
* Are there any team members we can recognize for providing extraordinary care?
 
No
 
Yes who
 
 
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