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2011
July
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Nursing Homes: What is your opinion?
Nursing Homes: What is your opinion?
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Hello:
You are invited to participate in a survey to help identify professional/community opinions on nursing homes today. In this survey, a variety of people will be asked to complete a survey that asks questions about their opinion on skilled nursing facilities (nursing homes) and specialty rehab units. It will take approximately 10 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for me to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Brooke Clark by email at
[email protected]
.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Gender:
Male
Female
What age group applies to you?
25-35
36-45
46-55
56-65
65+
What is your profession?
Physician
Hospital Discharge Planner
Hospital Case Manager
Long Term Care
Other Medical Professional
Sales/Marketing/PR
Student
Retired
Construction
Community Service
Real Estate Business
Customer Service
Teacher/Professor
Dental Profession
Other
What are 5 things you think of when you hear "Nursing Home"?
What 5 amenities/services would be the most important to you when selecting or referring a loved one or patient to a skilled nursing facility or specialty rehab unit? (please select ONLY 5)
Financial affordability
Location
Room type (private vs. semi private)
Complimentary cable/satellite
TV in room
Great customer service
Dining menu choice
No odor(s)
Cleanliness
Phone in room (free service)
Private shower/bath in room
Survey history
Staffing ratios
Electric beds
Activities
Chapel
Movie theater
Game room (to include pool table)
Bistro
Fine dining (non institutional)
Private dining room available to reserve
Care protocol that the facility follows from physician
Therapy services pertaining to the patient's diagnosis
State of the art therapy equipment
Other
What 5 amenities/services would be the least important to you when selecting or referring a loved one or patient to a skilled nursing facility or specialty rehab unit? (please select ONLY 5)
Financial affordability
Location
Room type (private vs. semi private)
Complimentary cable/satellite
TV in room
Great customer service
Dining menu choice
No odor(s)
Cleaniliness
Phone in room (free service)
Private shower/bath in room
Survey history
Staffing ratios
Electric beds
Activities
Chapel
Movie theater
Game room (to include pool table)
Bistro
Fine dining (non institutional)
Private dining room available to reserve
Care protocol that the facility follows from physician
Therapy services pertaining to the patient's diagnosis
State of the art therapy equipment
Other
What are things at home that would be important to you/your loved one/patient to have if you were faced with the decision to admit/refer a loved one or patient in a skilled nursing facility or specialty rehab unit?
What is the most important to you when choosing or referring to a skilled nursing facility or specialty rehab unit? Please rank (1-5) the following in order by sequence:
Customer Service
-- Select --
1
2
3
4
5
Amentities offered
-- Select --
1
2
3
4
5
Reputation
-- Select --
1
2
3
4
5
Location
-- Select --
1
2
3
4
5
Financial Affordability
-- Select --
1
2
3
4
5
If you were to have to make a decision to place your loved one or refer a patient to a skilled nursing facility or a specialty rehab unit, what/who would have the most influence on your decision?
Word of mouth
Reputation
Physician referral
Professional referral
Location
Financial affordability
Other
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