Referral Source Satisfaction Questionnaire

1) How often do you use Cross Creek Hospital?

2) How Is the Referral Process at Cross Creek Hospital?

3) How would you rate the Customer Service at Cross Creek Hospital?

4) Written and/or Verbal Clinical Communications from the staff are informative and helpful.

5) The Staff are helpful and professional?

6) Are your needs addressed when you contact Cross Creek Hospital?

7) My marketing representative keeps me informed in a professional manner

8) I would be willing to refer others your facility.

9) To What Other facilities do you refer patients to?

10) What could Cross Creek Hospital do differently so that you would refer patients to us instead of others?

11) How likely is it that you would recommend Cross Creek Hospital to a friend or colleague?

12) If you would like to be contacted to learn more about Cross Creek or to formally address your concerns, please enter your name, organization name, email, and phone number below.

Thank you for taking our survey.

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