CUSTOMER SURVEY

Braemoor Rehabilitation and Nursing Center continually strives to provide the best service possible to our residents and patients. In order to determine the level of quality of our services, I am asking that you take a few minutes to complete the following questionnaire. Your answers will help us to identify those areas that are in need of improvement, or that you feel were satisfactory. This survey will be sent directly to me. General responses will be reviewed at our Quality Improvement Committee. Thank you for choosing Braemoor for your stay, and thank you for taking your time to help us improve our service.

Name
Address
Telephone
Relationship

                       (Poor=1)      1          2          3         4           5    (Excellent=5)

Nursing Services-General..                                     

Courtesy of Staff..............                                   

Call Lights answered...........                                            

Pain Managed Properly........                                                    

                        (Poor=1)      1          2          3         4        5    (Excellent=5)

Rehabilitation Svc-General...                                          

Courtesy of Staff..................                                         

Were you on routine schedule                                        

                                (Poor=1)      1          2          3         4       5    (Excellent=5)

Discharge Planning-General..                                         

Were Home Svs Adequate.....                                        

                              (Poor=1)      1          2          3         4       5    (Excellent=5)              

Dietary Services-General.......                                       

Please evaluate Breakfast.....                                        

Please evaluate Dinner..........                                        

Please evaluate Evening Meal                                        
 

Did the Facility staff respond to your questions/concerns properly and timely?
                    YES                             NO    

If you require future services, would you consider Braemoor?
                    YES                             NO    

    Back to Top