Santa Rosa Behavioral Health Hospital

Inpatient Treatment
Experience Survey

NCBHS - Individualized Patient Care - Gold Leaf

Your experience with inpatient treatment at NCBHS matters to us. Thank you for taking a few minutes to tell us about the care you received to help us better meet the needs of the community.

The care, comfort, and safety of our patients and their families is a primary concern at SANTA ROSA BEHAVIORAL HEALTHCARE and we continually strive to improve our services. You can help by telling us how well we are doing in our efforts to bring you the best possible care. Please take a moment to complete this confidential questionnaire. Your response will be of value in helping us maintain standards of excellence. Thank you.

Intake and Admission Process

	Very Poor	Poor	Fair	Good	Very Good
The ease of helpfulness of the admission process	Very PoorThe ease of helpfulness of the admission process Very Poor	PoorThe ease of helpfulness of the admission process Poor	FairThe ease of helpfulness of the admission process Fair	GoodThe ease of helpfulness of the admission process Good	Very GoodThe ease of helpfulness of the admission process Very Good

Treatment Environment

	Very Poor	Poor	Fair	Good	Very Good
The comfort and appearance of the facility	Very PoorThe comfort and appearance of the facility Very Poor	PoorThe comfort and appearance of the facility Poor	FairThe comfort and appearance of the facility Fair	GoodThe comfort and appearance of the facility Good	Very GoodThe comfort and appearance of the facility Very Good
The extent to which meals and snacks were healthy and satisfying	Very PoorThe extent to which meals and snacks were healthy and satisfying Very Poor	PoorThe extent to which meals and snacks were healthy and satisfying Poor	FairThe extent to which meals and snacks were healthy and satisfying Fair	GoodThe extent to which meals and snacks were healthy and satisfying Good	Very GoodThe extent to which meals and snacks were healthy and satisfying Very Good

Treatment Team / Unit Staff

	Very Poor	Poor	Fair	Good	Very Good
The overall helpfulness of my time with my psychiatrist	Very PoorThe overall helpfulness of my time with my psychiatrist Very Poor	PoorThe overall helpfulness of my time with my psychiatrist Poor	FairThe overall helpfulness of my time with my psychiatrist Fair	GoodThe overall helpfulness of my time with my psychiatrist Good	Very GoodThe overall helpfulness of my time with my psychiatrist Very Good
The overall helpfulness of information I received about my illness and medications	Very PoorThe overall helpfulness of information I received about my illness and medications Very Poor	PoorThe overall helpfulness of information I received about my illness and medications Poor	FairThe overall helpfulness of information I received about my illness and medications Fair	GoodThe overall helpfulness of information I received about my illness and medications Good	Very GoodThe overall helpfulness of information I received about my illness and medications Very Good
The overall helpfulness of the nurses and mental health workers	Very PoorThe overall helpfulness of the nurses and mental health workers Very Poor	PoorThe overall helpfulness of the nurses and mental health workers Poor	FairThe overall helpfulness of the nurses and mental health workers Fair	GoodThe overall helpfulness of the nurses and mental health workers Good	Very GoodThe overall helpfulness of the nurses and mental health workers Very Good
The overall helpfulness of the therapists (social workers, case managers, activity therapists)	Very PoorThe overall helpfulness of the therapists (social workers, case managers, activity therapists) Very Poor	PoorThe overall helpfulness of the therapists (social workers, case managers, activity therapists) Poor	FairThe overall helpfulness of the therapists (social workers, case managers, activity therapists) Fair	GoodThe overall helpfulness of the therapists (social workers, case managers, activity therapists) Good	Very GoodThe overall helpfulness of the therapists (social workers, case managers, activity therapists) Very Good

Treatment Program

	Very Poor	Poor	Fair	Good	Very Good
The helpfulness of the program groups and activities	Very PoorThe helpfulness of the program groups and activities Very Poor	PoorThe helpfulness of the program groups and activities Poor	FairThe helpfulness of the program groups and activities Fair	GoodThe helpfulness of the program groups and activities Good	Very GoodThe helpfulness of the program groups and activities Very Good
The number of groups and activities were appropriate	Very PoorThe number of groups and activities were appropriate Very Poor	PoorThe number of groups and activities were appropriate Poor	FairThe number of groups and activities were appropriate Fair	GoodThe number of groups and activities were appropriate Good	Very GoodThe number of groups and activities were appropriate Very Good
The extent to which the program helped me feel safe	Very PoorThe extent to which the program helped me feel safe Very Poor	PoorThe extent to which the program helped me feel safe Poor	FairThe extent to which the program helped me feel safe Fair	GoodThe extent to which the program helped me feel safe Good	Very GoodThe extent to which the program helped me feel safe Very Good
The extent to which I felt included in my treatment planning and care decisions	Very PoorThe extent to which I felt included in my treatment planning and care decisions Very Poor	PoorThe extent to which I felt included in my treatment planning and care decisions Poor	FairThe extent to which I felt included in my treatment planning and care decisions Fair	GoodThe extent to which I felt included in my treatment planning and care decisions Good	Very GoodThe extent to which I felt included in my treatment planning and care decisions Very Good

Discharge Process

	Very Poor	Poor	Fair	Good	Very Good
The extent to which the program helped me with my plans for discharge	Very PoorThe extent to which the program helped me with my plans for discharge Very Poor	PoorThe extent to which the program helped me with my plans for discharge Poor	FairThe extent to which the program helped me with my plans for discharge Fair	GoodThe extent to which the program helped me with my plans for discharge Good	Very GoodThe extent to which the program helped me with my plans for discharge Very Good
The extent to which the program helped me feel prepared to get back into my life activities	Very PoorThe extent to which the program helped me feel prepared to get back into my life activities Very Poor	PoorThe extent to which the program helped me feel prepared to get back into my life activities Poor	FairThe extent to which the program helped me feel prepared to get back into my life activities Fair	GoodThe extent to which the program helped me feel prepared to get back into my life activities Good	Very GoodThe extent to which the program helped me feel prepared to get back into my life activities Very Good

Overall

	Very Poor	Poor	Fair	Good	Very Good
The extent to which the program helped me feel better and more hopeful	Very PoorThe extent to which the program helped me feel better and more hopeful Very Poor	PoorThe extent to which the program helped me feel better and more hopeful Poor	FairThe extent to which the program helped me feel better and more hopeful Fair	GoodThe extent to which the program helped me feel better and more hopeful Good	Very GoodThe extent to which the program helped me feel better and more hopeful Very Good
The extent to which the program helped me with my recovery process	Very PoorThe extent to which the program helped me with my recovery process Very Poor	PoorThe extent to which the program helped me with my recovery process Poor	FairThe extent to which the program helped me with my recovery process Fair	GoodThe extent to which the program helped me with my recovery process Good	Very GoodThe extent to which the program helped me with my recovery process Very Good
The extent to which the program helped me meet my goals for treatment	Very PoorThe extent to which the program helped me meet my goals for treatment Very Poor	PoorThe extent to which the program helped me meet my goals for treatment Poor	FairThe extent to which the program helped me meet my goals for treatment Fair	GoodThe extent to which the program helped me meet my goals for treatment Good	Very GoodThe extent to which the program helped me meet my goals for treatment Very Good
The extent to which I was treated with dignity and respect	Very PoorThe extent to which I was treated with dignity and respect Very Poor	PoorThe extent to which I was treated with dignity and respect Poor	FairThe extent to which I was treated with dignity and respect Fair	GoodThe extent to which I was treated with dignity and respect Good	Very GoodThe extent to which I was treated with dignity and respect Very Good
My overall satisfaction with the program	Very PoorMy overall satisfaction with the program Very Poor	PoorMy overall satisfaction with the program Poor	FairMy overall satisfaction with the program Fair	GoodMy overall satisfaction with the program Good	Very GoodMy overall satisfaction with the program Very Good
The likelihood I would recommend this program to a friend or family member	Very PoorThe likelihood I would recommend this program to a friend or family member Very Poor	PoorThe likelihood I would recommend this program to a friend or family member Poor	FairThe likelihood I would recommend this program to a friend or family member Fair	GoodThe likelihood I would recommend this program to a friend or family member Good	Very GoodThe likelihood I would recommend this program to a friend or family member Very Good

Facility Specific

	Very Poor	Poor	Fair	Good	Very Good
How would you rate the overall level of engagement from our treatment staff	Very PoorHow would you rate the overall level of engagement from our treatment staff Very Poor	PoorHow would you rate the overall level of engagement from our treatment staff Poor	FairHow would you rate the overall level of engagement from our treatment staff Fair	GoodHow would you rate the overall level of engagement from our treatment staff Good	Very GoodHow would you rate the overall level of engagement from our treatment staff Very Good
How well were you oriented to the unit and services available during your stay	Very PoorHow well were you oriented to the unit and services available during your stay Very Poor	PoorHow well were you oriented to the unit and services available during your stay Poor	FairHow well were you oriented to the unit and services available during your stay Fair	GoodHow well were you oriented to the unit and services available during your stay Good	Very GoodHow well were you oriented to the unit and services available during your stay Very Good

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Inpatient Treatment Experience Survey

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Inpatient Treatment
Experience Survey