Patient Wristband Transition Survey Form
We value your feedback on our recent wristband transition. Please share your experience to help us improve.
How easy was it to identify patient information on the new wristband?
*
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
How comfortable is the new wristband to wear?
*
Very comfortable
Comfortable
Neutral
Uncomfortable
Very uncomfortable
How clear and readable is the information on the new wristband?
*
Extremely clear
Clear
Somewhat clear
Unclear
Very unclear
Did you receive adequate information about the wristband transition?
*
Yes, completely
Mostly
Somewhat
Not really
Not at all
How would you rate the appearance and design of the new wristband?
*
1
2
3
4
5
Did you feel the new wristband improved your sense of safety or identification?
*
Yes, significantly
Yes, somewhat
No change
No, less safe
How well did staff communicate about the wristband transition?
*
Excellent
Good
Fair
Poor
Were you given the opportunity to ask questions about the new wristband?
*
Yes
No
What did you like most about the new wristband?
Do you have any suggestions or concerns about the wristband transition?
Submit Survey
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