Houston MicroNeurosurgery - Hospital Experience Survey

Please tell us about your recent hospitalization experience.

 
Last Name *
Your name and identifying information are kept confidential.
 

First Name *
 

Name of hospital *
  Bayshore Medical Center
  Patients Medical Center

Date(s) of Hospitalization *
 

Ease and Efficiency of the Check-in/Registration Process
  1. Excellent
  2. Very Good
  3. Good
  4. Fair
  5. Poor

Attentiveness of Surgery Staff
  1. Excellent
  2. Very Good
  3. Good
  4. Fair
  5. Poor

Attentiveness of Nursing Staff
  1. Excellent
  2. Very Good
  3. Good
  4. Fair
  5. Poor

Comfort, Cleanliness, and Appearance of Your Room
  1. Excellent
  2. Very Good
  3. Good
  4. Fair
  5. Poor

Appearance of the Hospital
  1. Excellent
  2. Very Good
  3. Good
  4. Fair
  5. Poor

How would you rate your overall hospitalization experience? *
  1. Excellent
  2. Very Good
  3. Good
  4. Fair
  5. Poor

Would you recommend this hospital to others? *
  Yes
  No

Comments
Please use this space for your comments. Do not ask any medical questions here. Call us if you have questions.