Name (optional)
Date of birth (optional)
Contact phone number (optional)
Contact email (optional)
Date of admission
Ward
Room number
The admissions process
Exceeded
Met
Not Met
NA
The cleanliness and set-up of your room
Exceeded
Met
Not Met
NA
The quality/taste/variety of your meals
Exceeded
Met
Not Met
NA
The care from your nurses
Exceeded
Met
Not Met
NA
The care from your doctor
Exceeded
Met
Not Met
NA
The care from allied health (including physio, occupational therapy, speech pathology, dietetics and social work)
Exceeded
Met
Not Met
NA
Usefulness of discharge information
Exceeded
Met
Not Met
NA
How your medications were explained
Exceeded
Met
Not Met
NA
How your personal/special needs were met
Exceeded
Met
Not Met
NA
Staff were polite and respectful when communicating
Exceeded
Met
Not Met
NA
You were kept informed and could contribute to decisions about your care.
Exceeded
Met
Not Met
NA
How likely are you to recommend Joondalup Health Campus to friends or family?
1 - Not at all likely
2
3
4
5 - Very likely
What did you appreciate during your hospital stay and/or how can we improve?
Have you watched the Patient Information video?
Yes
No
Did you receive information about your rights and responsibilities as a patient (The Australian Charter of Health Care Rights)?
Yes
No
Would you like to acknowledge any individual or team who provided exceptional care or service during your stay with us? (E.g. admin, allied health, nursing, doctor, housekeeping, catering, orderlies).
I acknowledge my submission is of a general nature and does not include any sensitive health information.