Satisfaction survey Maternity Hospital Satisfaction survey Online satisfaction questionnaire Reserved only for maternity hospitalisation services. General information In which specialty are you hospitalised? : Select a serviceObstetrics (pregnancy monitoring)Hospital Unit 73 - 3rd Floor MaternityHospital Unit 74 - 3rd Floor Maternity Have you come : Emergency Scheduled Your priorities 1. During your care, which is the most important for you? : Cite 3 items Your safety 2. Did you have an ID bracelet at CHL? : Yes No 3. Was your identity verified at different times during your care? : Always Often Sometimes Never 4. Did you feel safe at CHL? : Yes No, why? Homepage 5. When you arrived, did you feel welcomed at CHL? : Yes, completely Somewhat yes Somewhat no No, not at all 6. How would you rate the information about how the hospitalisation service functions? : Excellent Very good Good Average Poor Doesn't concern me 7. Did the various professionals introduce themselves to you? : Always Often Sometimes Never Your information 8. How do you rate the information provided about your intervention, illness and treatment? : By the emergency team : Excellent Very good Good Average Poor Doesn't concern me By the medical team (doctor, surgeon) : Excellent Very good Good Average Poor Doesn't concern me By the nursing team (nurse) : Excellent Very good Good Average Poor Doesn't concern me By the anaesthetics team : Excellent Very good Good Average Poor Doesn't concern me 9. Were you able to talk about your concerns with the medical and nursing team? : Yes I don't want to talk about my problems No, why? 10. Did you receive consistent information from the various professionals? : Yes No, please specify the subjects? Your management 11. How do you rate your involvement in decisions about your care? : Excellent Very good Good Average Poor Doesn't concern me 12. Did you feel like you were taking an active part in your care? : Always Often Sometimes Never 13. Overall, how do you rate the care received in the service? : Excellent Very good Good Average Poor Doesn't concern me The involvement of your family or loved ones 14. Were your family or loved ones told how the medical and nursing team interact? : Yes No I don't want to involve my family 15. Did your family or loved ones have enough opportunities to talk to a doctor? : Yes I don't want to involve my family No, why? 16. Did your family or loved ones have enough opportunities to talk to the nursing team? : Yes I don't want to involve my family No, why? Your discharge from hospital 17. How do you rate the organisation of the continuity of your care? (eg: return home, transfer to another facility, etc.) : Excellent Very good Good Average Poor Doesn't concern me 18. How do you rate your knowledge regarding new medicinal products given during your stay? : Excellent Very good Good Average Poor Doesn't concern me Hospitality 19. How do you rate the quality of the food? : Excellent Very good Good Average Poor General impression 20. How did you find the collaboration between the doctors and nursing staff? : Excellent Very good Good Average Poor Doesn't concern me 21. Would you recommend this service to a loved one who needs it?? : Yes No, why? 22. If you had to give the Luxembourg Hospital Centre a score between 0 and 10, what would you give it? : (10 is the highest score) 0 1 2 3 4 5 6 7 8 9 10 23. Do you have any comments or suggestions? : The team will be glad to provide further assistance with any questions. Please do not hesitate to contact them.
