Inpatient Satisfaction Survey
Complete this survey only if you were the patient during the hospital stay.
Answer all of the questions by selecting the button to the left of your answer.
You are sometimes told to skip over some questions in this survey. When this happens, you will see a note that tells you which question to answer next, e.g.:
○ No (If “No”, go to question 1)
Centers for Medicare and Medicaid Services
June 26, 2011