Uintah Basin Healthcare - Healing Model Survey

We Hear U!

At Uintah Basin Healthcare, we believe a healing environment where PATIENTS COME FIRST is essential to provide outstanding and compassionate care. Our HEALING MODEL was established to guide our staff in daily interactions. As a team, we are expected to learn it and live up to it. We welcome your feedback as we continually strive to improve the patient experience.

COMPLETE OUR 7-QUESTION SURVEY & YOU MAY BE THE WINNER OF OUR MONTHLY DRAWING!

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* 1. Have you received services from Uintah Basin Healthcare in the past 6 months?

Yes

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* 2. For the purposes of this survey, please specify services you are providing feedback for:

Clinic Visit

Radiology

Laboratory

Physical Therapy

Sleep Center

Respiratory

Home Care Services

Dialysis

Sr Villa & Rehabilitation

Pharmacy

Med Surg / ICU (Inpatient)

Labor & Delivery (OB)

Surgery

Financial Counseling / Billing

The Gift Shop

Other (please specify)

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* 3. During your last visit, which of our 7 commitments in our Healing Model did you see?

H- Hello with a Smile.

E- Establish Trust.

A- Assist with Compassion.

L- Listen and Respond.

I- Impress with Excellence.

N- Notice and Fulfill Needs.

G- Go the Extra Inch.

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* 4. What specifically "wowed" you about your experience, or what could we have done to exceed your expectations?

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* 5. I am a:

Patient

Visitor

Provider/Physician

Employee

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* 6. Please enter your name. (Name and email are required for monthly prize entry. However, if you wish to remain anonymous, you may leave these boxes blank.)

First Name

Last Name

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* 7. Please enter your email address: (By entering your email address, you may receive community event information or marketing messages from Uintah Basin Healthcare. We will not distribute your email address to others outside of our organization. You may unsubscribe at any time by emailing PatientExperience@ubmc.org with "unsubscribe" in the subject field.)