Outpatient Survey – Centegra Hospital-McHenry Outpatient Survey - Centegra Hospital-McHenry Thank you for trusting us with your care. It is important that we understand how we are doing from your point of view. To help us discover this information, please take a moment to complete this survey. The results will be used to reward and recognize, educate staff, and improve our service to you. Please select the service you are providing feedback on from our Centegra Hospital-McHenry location:*Ambulatory Treatment ServicesMammographyAnti-Coagulation ClinicCardiac Catheterization LabCentegra Sage Cancer CenterSleep Lab-AlgonquinCardio-Pulmonary RehabilitationOverall Safety During your Visit*Very GoodGoodFairPoorVery Poorn/aComfort and Cleanliness of the facility*Very GoodGoodFairPoorVery Poorn/aFriendliness/Courtesy of the staff who provided your test or treatment*Very GoodGoodFairPoorVery Poorn/aDegree to which your needs were met *Very GoodGoodFairPoorVery Poorn/aProviders listened and explained things in a way you could understand*Very GoodGoodFairPoorVery Poorn/aInformation you were given about caring for yourself at home*Very GoodGoodFairPoorVery Poorn/aIf you were given any medication and or prescriptions during your visit, did the staff explain the purpose and side effects in a way you could understand?*Very GoodGoodFairPoorVery Poorn/aOverall rating of care during your visit*Very GoodGoodFairPoorVery Poorn/aComments (please describe good or bad experience)NameFirstLastPhoneCell PhoneAddressStreet AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeNameThis field is for validation purposes and should be left unchanged.