Online Outpatient Survey

Midland Memorial is committed to delivering superior healthcare by partnering with our patients, families, employees and the community we serve. We value your comments and want to hear about what we did right as well as what we can do better. Please take a few minutes to complete this questionnaire. Your comments will remain entirely confidential. Thank you.

Russell Meyers
President & CEO

* Denotes required field

We'd appreciate knowing the date of service to help identify the medical professionals involved in your care at Midland Memorial Hospital.

Please select the location where you received treatment to view the survey questions*



This survey was completed by?*

What service are you evaluating (please complete for only 1)? If you do not see your service, please fill in the Other text box below the services list.









What service are you evaluating (please complete for only 1)? If you do not see your service, please fill in the Other text box below the services list.



What service are you evaluating (please complete for only 1)? If you do not see your service, please fill in the Other text box below the services list.





What service are you evaluating (please complete for only 1)? If you do not see your service, please fill in the Other text box below the services list.



Did we meet your needs and expectations on this visit? Please fill in the bubbles below to rate our performance:*

  • Very Poor
  • Poor
  • Fair
  • Good
  • Very Good
  • N/A

 

How long did you wait to be registered?*


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