A. Demographics
Please respond to each question using the scale of 1-10, where 1 is the worst and 10 is the best.
B. Admission
Please respond to each question using the scale of 1-10, where 1 is the worst and 10 is the best. Please use 11 to select Not Applicable option (N/A).
C. Patient Room and Hospital Environment
D. Treatment and Healthcare Professionals
Physician
Nurse
Allied Healthcare Professionals
Pain Management
Discharge
E. Overall Rating of Healthcare Facility