Surveys

Inpatient Satisfaction Survey

 
 
 

SURVEY INSTRUCTIONS

  • Complete this survey only if you were the patient during the hospital stay.

  • All surveys are anonymous so there is no need to attach your name.

  • Answer all of the questions by selecting the button to the left of your answer.

  • You are sometimes told to skip over some questions in this survey. When this happens, you will see a note that tells you which question to answer next, e.g.:

○ Yes
○ No (If “No”, go to question 1)

 
 

Source: HCAHPS Online
Centers for Medicare and Medicaid Services
Baltimore, MD
June 26, 2011