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SAFETY EXIT
Ombudsman Satisfaction Survey
Ombudsman Satisfaction Survey
>
Ombudsman Satisfaction Survey
Ombudsman Satisfactory Survey
Are You
A resident of a long-term care facility?
A friend or family member?
Other
If you chose other, please specify
How did you initially have contact with the Ombudsman?
The ombudsman visited or called.
I contacted the ombudsman.
Other
If you chose other, please specify
Did the Ombudsman understand your concerns?
Yes
No
Once you shared your concerns, did the Ombudsman act promptly to help you?
Yes
No
Did the Ombudsman maintain contact with you during the investigation?
Yes
No
Did the Ombudsman help resolve your concern to your satisfaction?
Yes
No
Was the Ombudsman courteous and respectful?
Yes
No
Would you contact the Ombudsman if you needed further assistance?
Yes
No
In what county is the long-term care facility?
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
McDowell
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
What Ombudsman assisted you?
Brenda Alvarado
Micah Bailey
Mary Booth
Tami Handley
Ed Hopple
Kathryn McIntyre
Marie Parker
Michelle Richmond
Diane Roy
Linda WahlBaker
What suggestions do you have about how we can improve our services?
Any other comments?
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