Healthcare Discharge Communication Survey
Please provide your feedback regarding the discharge communication you received.
How clearly were the discharge instructions explained to you?
*
Very clearly
Somewhat clearly
Not clearly
Not explained at all
How satisfied are you with the communication from healthcare staff during discharge?
*
1
2
3
4
5
Were all your questions answered before discharge?
*
Yes
No
Please provide any additional comments or suggestions regarding discharge communication.
Submit
Should be Empty: