Anonymous

Patient Satisfaction Interviews

Survey

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Use this Template

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Here at UH Geauga Medical Center we "Always" want to keep your room clean, would you mind if we asked you a few questions?
Your Patient Room
Your Bathroom
Public Areas
Room Decor'
Housekeeping Staff Appearance
Housekeeping Staff Courtesy
Housekeeping Staff Response
Overall Quality
You will be receiving a Survey in the mail, is there any reason you couldn't score us always on keeping your room clean. Thank you for your time.

Anonymous

Patient Satisfaction Interviews

Survey

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.