How Did We Do?

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The Care You Trust
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HOW DID WE DO?

We sincerely hope that you received the best care and that we ALWAYS met your expectations while in our emergency department.
We also hope that we have earned your trust and that you are pleased
with the care you received.
We are ALWAYS striving to provide the best care to our patients!

If you feel we failed to meet that goal please call:
David Kerns, Practice Manager at (731) 541-5492

During this emergency room visit, how often did the physician, physician assistant, or nurse practitioner treat you with courtesy & respect? *

ALWAYS

USUALLY

SOMETIMES

NEVER

During this emergency room visit, how often did the physician, physician assistant, or nurse practitioner carefully listen to you? *

ALWAYS

USUALLY

SOMETIMES

NEVER

During this emergency room visit, how often did the physician, physician assistant, or nurse practitioner explain things in a way you could understand? *

ALWAYS

USUALLY

SOMETIMES

NEVER

Do you feel your provider spent enough time with you? *

YES

At which facility did you receive medical care? *

Bolivar Hospital Emergency Room

Camden Hospital Emergency Room

Jackson-Madison County General Hospital Emergency Room

Milan Hospital Emergency Room

North Hospital Emergency Room

Volunteer Martin Emergency Room

How did you hear about our survey? *

MY MEDICAL PROVIDER GAVE ME A CARD WHILE IN THE EMERGENCY ROOM

A LETTER IN THE MAIL PROMPTED ME TO PROVIDE FEEDBACK

INTERNET SEARCH

OTHER

Would you like for someone from our office to contact you regarding your experience with our physician, physician assistant, or nurse practitioner? *

Yes, please have someone call me (please provide information below)

No, that won't be necessary

Do you have any questions or comments? If you would like a call regarding your visit, please include your name and phone number. Thank You!

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