Memorial Home Services

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Telehealth Monitoring Memorial Home Services offers telehealth monitoring, an automated device placed in patients' homes to take vital signs, remind them to take medication and answer simple questions about their condition.

Patient Survey

Memorial Home Services Survey
	Location:
	SpringfieldTaylorvilleLincoln
	Service:
	Home HealthMaternal ChildEquipment/Oxygen
1.	Were you satisfied with our services?
	NeverSometimesUsuallyAlways
2.	Did the staff treat you the way you wanted to be treated?
	NeverSometimesUsuallyAlways
3.	Were you satisfied with the education you received?
	NeverSometimesUsuallyAlways
4.	Were adequate instructions provided for safe use of the equipment?
	Definitely NoProbably NoProbably YesDefinitely YesN/A
5.	Were your supplies and/or equipment delivered in a timely manner?
	Definitely NoProbably NoProbably YesDefinitely YesN/A
6.	How can we as an organization improve safety?

7.	If pain was an issue for you, were you satisfied with how your pain was managed?
	NeverSometimesUsuallyAlwaysN/A
8.	Would you recommend Memorial to your friends and family?
	Definitely NoProbably NoProbably YesDefinitely Yes
9.	Using any number from 1 to 10, where 1 is the worst possible and 10 is the best possible, what number would you use to rate this provider of home medical care?
	12345678910
	Comments (optional):
	If you would like to be contacted, please provide your name as well as your phone number or email address (optional):
	Patient Name:
	Phone/Email (optional):

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