Resident Satisfaction Survey PLEASE RATE THE FOLLOWING: 5 = STRONGLY AGREE, 4 = AGREE, 3 = NEUTRAL, 2 = DISAGREE, 1 = STRONGLY DISAGREE EnvironmentMy room is comfortable. 1 2 3 4 5 My laundry is returned promptly. 1 2 3 4 5 My family feels comfortable visiting with me here. 1 2 3 4 5 The care center is clean and odor-free, including my room. 1 2 3 4 5 My feel that my room is treated like my home. 1 2 3 4 5 I feel safe. 1 2 3 4 5 I am able to sleep at night without noise interruptions. 1 2 3 4 5 Communication/ResponsivenessI am involved in the decisions about my care. 1 2 3 4 5 My resident trust account money is available when requested. 1 2 3 4 5 Management responds to my concerns. 1 2 3 4 5 Staff respond promptly when I ask for assistance. 1 2 3 4 5 People who work here listen to me. 1 2 3 4 5 People who work here treat me politely. 1 2 3 4 5 FoodThe quality of the food served is good. 1 2 3 4 5 The dining room is a pleasant place to enjoy mealtime. 1 2 3 4 5 My special diet needs or requests are accommodated. 1 2 3 4 5 I am always given a menu choice at each meal. 1 2 3 4 5 Medical CarePeople who care for me do things the way I want them done. 1 2 3 4 5 I can choose how I spend my day. 1 2 3 4 5 I am encouraged to speak up about things I do not like. 1 2 3 4 5 I am pleased with the quality of care I receive. 1 2 3 4 5 I feel my pain is managed effectively. 1 2 3 4 5 RelationshipsStaff know me/the same staff are assigned consistently. 1 2 3 4 5 Staff respect my privacy. 1 2 3 4 5 Caregivers are respectful, concerned and caring with me. 1 2 3 4 5 Staff pay attention to me when providing cares. 1 2 3 4 5 OtherThe admission and/or discharge process was satisfactory. 1 2 3 4 5 Staff go the extra mile to resolve problems. 1 2 3 4 5 There are activities offered that are interesting to me. 1 2 3 4 5 There are things to do on the weekends that I enjoy. 1 2 3 4 5 I am satisfied with religious/spiritual activities offered to me. 1 2 3 4 5 I would recommend this care center to others who need care. 1 2 3 4 5 CommentsCAPTCHA
