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Patient Survey

Here at St. Luke's Cornwall JV we hope that we have reached our goal of promoting a feeling of comfort and professionalism to you and your family. We would like to ask you about your recent experience in our department. This survey is completely confidential and the information gathered will only be used to assist us in continuing to provide and improve care to our patients.

The scale for this survey is based on the following, simply check a number after the question or mark the YES/NO answer when appropriate:


(1) Poor
(2) Below Satisfactory
(3) Satisfactory

(4) Above Satisfactory
(5) Outstanding

1. How was your initial call to our department handled?  

2. Was the receptionist friendly and courteous?  

3. How would you rate the registration process?  

4. On the day of your consultation, how quickly were you seen by a nurse?  

5. Were you educated about skin care and diet specific to your area of treatment?
 

6. After meeting with the Radiation Oncologist did you feel adequately informed about your illness and the possible side effects of treatment?  

7. Prior to signing the consent, did you completely understand the process and reason for tattoos marking your treatment area?  

8. How close to your schedule time was, your simulation started?  

9. Did your physician, nurse and/or therapist explain to you what the simulation would entail and the length of time it would take?  

10. Were your needs reasonably met when your appointments for simulation and daily treatment were scheduled?  

11. Was your first day on the treatment machine explained thoroughly?
 

12. On the initial day of treatment did you feel that the therapists explained to you what to expect?
 

13. On your weekly visits did you feel your Radiation Oncologist addressed your needs?  

14. On average how close to your daily treatment appointment time were you taken in?  

15. If there was a delay was the reason explained to you?
 

16. Did the radiation oncology staff act in a professional and courteous manner in communicating with you and your family?  

17. Overall, would you rate your experience with radiation oncology as...
 

18. Did you meet with the Patient Navigator?
 
If Yes, were you:  

19. Did you take advantage of any support services available to you? If yes, please list  
If yes, please list  
were you:  

20. Did you find the services beneficial?  

21. Overall, how would you rate the cleanliness of the radiation oncology department?
 

22. During your visits to the radiation oncology department did you see a health care worker clean their hands? (Hand cleaning includes washing with soap and water or using an alcohol-based hand sanitizer.)  

23. Are there any additional support services that you would have liked offered to you?  
If yes, please list  

Please make any comments you feel are appropriate. Thank you for taking the time to complete this survey. Your feedback is very valuable and will help with future projects


 



About Us  Patient Care  Tomotherapy  Brachytherapy  Areas of Treatment   Resources  Contact 15 Laurel Avenue, Cornwall, NY 12518 • (845) 458-9000