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  1. Surveys
  2. 2014
  3. October
  4. F
  5. Family Satisfaction Survey v.2
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Exit Survey
 
 
Please complete this survey from your family member's stay in the Mountain Vista Generations program. Thank you for your time and for allowing us to care for your loved one.
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
Comfort of your family member's room:
Cleanliness of your family member's room and bathroom:
Manner in which the rules about what items your family member could have, were explained:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well the Nurses and Techs treated your family member with courtesy and respect:
How well the Nurses and Techs listened to your concerns and questions:
Before giving new meds, how well the Nurse told you what the med was for:
Before giving new meds, how well the Nurse described possible side effects in a way you could understand:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How the Doctors treated you and your family member with courtesy and respect:
How the Doctors listened carefully and answered your questions in an understandable way:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well you were made to feel welcomed when you came to visit your family member:
How well the unit visiting hours and policies were explained to you in a respectful manner:
 
 
Please rate the following:
Very Poor/Poor Fair/Good Very Good/Excellent N/A
How well you were included in your family member's treatment and discharge planning:
How well the Social Services staff treated you and your family member with courtesy and respect:
How well your family member's discharge plan and appointments were explained to you:
How beneficial weekly staffing/treatment team meetings with the doctor and team were for you and your family member:
 
 
Please answer the following:
Yes No Not Sure N/A
Was your family offerred a family therapy session with the counseling intern?
Would your family have benefitted from additional family therapy sessions?
Were you made aware of the bi-monthly family support group (with other families)?
If you attended the support group, did you find the information and support helpful?
 
 
 
Please rate the overall care your family member received at Mountain Vista Generations
 
Very Poor/Poor
 
Fair/Good
 
Very Good/Excellent
 
 
 
Please rate the likelihood of your recommending Mountain Vista Generations to others:
 
Very Unlikely
 
Unsure
 
Very Likely
 
 
 
Could you please give us helpful feedback so we can continue to improve our program?