Patient Satisfaction Survey
Central Valley Emergency Department

1.)* I received services from Central Valley Medical Center's emergency department on:



2.)* The person who provided care was:  

3.)* How long did you have to wait in the exam room before seeing the provider?  



On a scale of 1 to 5 please rate the care you/your child/loved one received in our emergency department. (1 being very poor and 5 being excellent)


4.)* How would you rate the overall quality of care and services you received at CVMC's emergency department?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


5.)* How would you rate how well the nurse explained things to you?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


6.)* How would you rate how well the physician explained things to you?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


7.)* How would you rate how well all the staff worked together to coordinate different aspects of your visit?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


8.)* How would you rate how well your privacy was respected by all the staff?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


9.)* How would you rate the total amount of time you spent waiting?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


10.)* How would you rate how well the staff kept you informed about waiting times?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


11.)* How would you rate how well the staff explained the care you would need after leaving the emergency department?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


12.)* How would you rate the effectiveness of the emergency department in improving your condition as much as possible?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


13.)* If you received radiology (x-ray) services during your visit, how would you rate the overall quality of this service?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


14.)* If you received laboratory services during your visit, how would you rate the overall quality of this service?

     1. Very Poor       2. Poor       3. Fair       4. Good       5. Excellent  


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