Patient Satisfaction Survey

We at St. Bernard Hospital are continually working to improve our services and experience. We are committed to serving those in our community with compassionate patient care. If you have received medical services recently, please take the time to tell us about your experience.

Your name: (optional)

1. Courtesy and Professionalism of the Care Providers
  Poor Fair Average Good Excellent
Physician
Nursing Staff
 

Physician discussed condition and reason for hospitalization
Yes No

Additional comments:

Patient feels their pain was managed appropriately
Yes No

Additional comments:

2. Patient Privacy and Safety
  Poor Fair Average Good Excellent
Physician/Staff concern for patient privacy
Physician/Staff concern for patient safety
 

Patient safety instructions discussed with patient
Yes No

Additional comments:

Patient understands reason for surgery
Yes No

Additional comments:

Risk and benefits of surgery explained
Yes No

Additional comments:

3. Overall Assessment
  Poor Fair Average Good Excellent
Overall satisfaction of hospital stay
Overall cleanliness of the hospital
Satisfaction with hospital room
 

Additional comments: