Nursing Home Resident Satisfaction Survey
Kindly evaluate each statement using a scale from one to five, where one indicates that you are very dissatisfied, and five signifies that you are very satisfied.
Quality of Care | 5 | 4 | 3 | 2 | 1 |
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How satisfied are you with the medical care provided by the nursing home | | | | | |
How would you rate the attentiveness and responsiveness of the nursing staff? | | | | | |
How well do you feel your personal care needs are met (e.g., bathing, dressing)? | | | | | |
Staff Interaction | | | | | |
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How respectful and courteous are the staff members? | | | | | |
How effectively does the staff communicate with you? | | | | | |
How satisfied are you with the level of support provided by the staff? | | | | | |
Facility Environment | | | | | |
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How clean and well-maintained is your living area? | | | | | |
How comfortable and safe do you feel in the facility? | | | | | |
How would you rate the overall condition of common areas (e.g., lounges, dining areas)? | | | | | |
Food and Dining | | | | | |
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How satisfied are you with the quality of the food provided? | | | | | |
How would you rate the variety and nutritional value of the meals? | | | | | |
How responsive is the dining service to special dietary needs or preferences? | | | | | |
Activities and Engagement | | | | | |
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How satisfied are you with the recreational activities offered? | | | | | |
How engaged do you feel with the social and cultural programs available? | | | | | |
How would you rate the availability and quality of activities tailored to your interests? | | | | | |
Overall Satisfaction | | | | | |
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Overall, how satisfied are you with your experience at the nursing home? | | | | | |
What do you like most about living in the facility? | | | | | |
What areas do you think need improvement? | | | | | |
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