Sacramento Behavioral Healthcare Hospital

Inpatient Treatment
Experience Survey

NCBHS - Individualized Patient Care - Gold Leaf

Your experience with our inpatient treatment 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.

Step 1 of 3

1. Intake / Admission Service

Staff explained the admitting process and it was carried out in a timely manner. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

The explanation of the financial arrangement was thorough. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

Staff provided me with information about my rights and responsibilities. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

2. Treatment Program

My orientation to the program was informative. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

The explanation of my treatment and goals was thorough. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

My medication & possible side effects were thoroughly explained. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

Groups have helped me decrease symptoms of my illness and identify triggers that contributed to my hospitalization. *

Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Strongly AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Agree	AgreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Agree	NeutralPatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Neutral	DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Disagree	Strongly DisagreePatient Services/Intake staff explained the intake process and I knew what to expect upon my arrival. Strongly Disagree

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Inpatient Treatment
Experience Survey

1. Intake / Admission Service

2. Treatment Program

3. Treatment Team / Unit Staff (copy)

4. Environment

5. Discharge Process

6. Overall

7. Comments/Suggestions: (copy)

OPTIONAL

Inpatient Treatment Experience Survey

1. Intake / Admission Service

2. Treatment Program

3. Treatment Team / Unit Staff (copy)

4. Environment

5. Discharge Process

6. Overall

7. Comments/Suggestions: (copy)

OPTIONAL

Inpatient Treatment
Experience Survey