St. Johnsville Rehab & Nursing Center Patient/Family Satisfaction
Survey
1. Please rate the Certified Nursing Assistant care delivery
Excellent
Good
Fair
Poor
other
(please
specify)
2. Please rate the Licensed Nursing Staff care delivery
Fair
Poor
Good
Excellent
other
(please
specify)
3. Please rate our Housekeeping Staff
Fair
Good
Poor
Excellent
specific
concerns?
4. Please rate our Laundry Staff
Excellent
Fair
Poor
Good
How can
we
improve?
5. Please rate our Dining Services staff and food
Excellent
Fair
Good
Poor
Specific
suggestions
6. How do you rate the Activities and Recreational Opportunities at St. Johnsville Rehab &
Nursing Center?
Fair
Excellent
Good
Poor
other
(please
specify)
7. How do ou rate the St. Johnsville Rehab & Nursing Center Therapy Department?
Excellent
Poor
Good
Fair
other
(please
spec
i
fy)
8. How do you rate Administration and Support Staff?
Good
Excellent
Fair
Poor
Specific
comments
about a staff
member or
position
9. What is your overall satisfaction with your experi
e
nce at St. Johnsville Rehab &
Nursing Center?
Fair
Excellent
Poor
Good
other
(please
specify)
10. Would you recommend St. Johnsville Rehab & Nursing Center to others?
yes
No
Why or
Why not
11. If there was one thing you could change about St. Johnsville Rehab & Nursing
Center, what would it be?
Suggested visiting hours 10:00am - 8:00pm additional hrs. can be requested through RFS
