Resident Satisfaction Survey PLEASE RATE THE FOLLOWING: 5 = STRONGLY AGREE, 4 = AGREE, 3 = NEUTRAL, 2 = DISAGREE, 1 = STRONGLY DISAGREE EnvironmentMy room is comfortable.12345My laundry is returned promptly.12345My family feels comfortable visiting with me here.12345The care center is clean and odor-free, including my room.12345I feel that my room is treated like my home.12345I feel safe.12345I am able to sleep at night without noise interruptions.12345Communication/ResponsivenessI am involved in the decisions about my care.12345My resident trust account money is available when requested.12345Management responds to my concerns.12345Staff respond promptly when I ask for assistance.12345People who work here listen to me.12345People who work here treat me politely.12345FoodThe quality of the food served is good.12345The dining room is a pleasant place to enjoy mealtime.12345My special diet needs or requests are accommodated.12345I am always given a menu choice at each meal..12345Medical CarePeople who care for me do things the way I want them done.12345I can choose how I spend my day.12345I am encouraged to speak up about things I do not like.12345I am pleased with the quality of care I receive.12345I feel my pain is managed effectively.12345RelationshipsStaff know me/the same staff are assigned consistently.12345Staff respect my privacy.12345Caregivers are respectful, concerned and caring with me.12345Staff pay attention to me when providing cares.12345OtherThe admission and/or discharge process was satisfactory.12345Staff go the extra mile to resolve problems.12345There are activities offered that are interesting to me.12345There are things to do on the weekends that I enjoy.12345I am satisfied with religious/spiritual activities offered to me.12345I would recommend this care center to others who need care.12345Comments
