Nurse-Parent Communication Survey
Help us improve communication between nurses and parents by sharing your experiences and feedback.
Parent's Full Name
*
First Name
Last Name
Child's First Name
*
Your relationship to the child
*
Please Select
Mother
Father
Guardian
Other
How often do you communicate with the nursing staff about your child's care?
*
Daily
Several times a week
Once a week
Rarely
Please rate the following aspects of communication with the nursing staff.
*
Rows
Excellent
Good
Fair
Poor
Clarity of information provided
1
2
3
4
Timeliness of updates
5
6
7
8
Respect shown by staff
9
10
11
12
Responsiveness to questions
13
14
15
16
Understanding of your concerns
17
18
19
20
How satisfied are you with the overall communication from the nursing staff?
*
1
2
3
4
5
Which communication methods do you prefer for updates about your child? (Select all that apply)
*
In-person discussion
Phone call
Text message
Email
Other
Have you ever experienced misunderstandings or miscommunications with the nursing staff?
*
Yes
No
If yes, please briefly describe the situation and how it was resolved.
What suggestions do you have to improve communication between nurses and parents?
Would you recommend our nursing staff to other parents based on communication?
*
Yes
No
Not sure
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