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Skilled Nursing Facility Intra-Facility Transfer Survey Questions

Updated over 2 months ago

The reason for my transfer was clearly explained to me.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

The staff communicated clearly about the transfer process.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

The facility completed the transfer in a timely manner.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

I was treated with respect and dignity during the transfer.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

The facility prepared me for the transfer (e.g., I was informed about the new room or area and received assistance with packing belongings).

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

I am comfortable in my new room or area within the facility.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

My care plan was continued seamlessly after the transfer.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

The services and staff are available as needed in my new location.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

My family (or designated contact person) was told about my transfer in a timely manner.

  • Strongly Disagree

  • Disagree

  • Neutral

  • Agree

  • Strongly Agree

Do you have any additional feedback to help us improve the transfer process?

Open text response.

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