1. Answer "Excellent", "Good", "Fair", "Poor" for the items below. Choose N/A if not applicable.
2. Add photos and notes by clicking on the paperclip icon. (Specify the room number in the notes)
3. Complete audit by providing digital signature.
4. Share your report by exporting as PDF, Word, Excel or Web Link.
Rate the cleanliness of your area.
Rate the responsiveness of our staff to your requests.
Rate the availability of restroom and patient area supplies.
Patient Room 1
Patient Room 2
Patient Room 3
Clean Utility Room
Soiled Utility Room
Family Waiting Room
Family Waiting Room RR