Free Nursing Home Survey Template
Nursing Home Survey
Your input is essential in helping us provide the best possible care experience in nursing homes. Take time to understand each question before responding, provide honest and specific feedback with examples where possible, and be assured that your responses are confidential and solely for improving service quality and care. Aim to answer all questions fully, but skip any that are not applicable to your experience.
Survey Guide
Please use the following scale to rate each item in the survey:
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Strongly Disagree |
Disagree |
Neutral |
Agree |
Strongly Agree |
A. Strongly Agree: You completely agree with the statement.
B. Agree: You agree with the statement generally.
C. Neutral: You neither agree nor disagree with the statement.
D. Disagree: You generally disagree with the statement.
E. Strongly Disagree: You completely disagree with the statement.
Survey
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1. The overall cleanliness of the nursing home is good. |
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2. The nursing home is adequately staffed at all times. |
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3. The staff members are caring and compassionate. |
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4. Meals are nutritious and of good quality. |
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5. The nursing home handles medical emergencies well. |
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6. The staff take time to listen and respond to concerns or requests. |
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7. The recreational activities available for the residents are satisfactory. |
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8. The overall living conditions in the nursing home are good. |
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10. I am willing to recommend this nursing home to others. |
Thank you for dedicating time to complete this survey. Your feedback is invaluable, and we are committed to leveraging your insights to enhance our services and facilities.
