Bailey House Guest Survey

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Please fill out this survey if you would like to share your family’s story of hope and healing at the Bailey House. Your thoughts and feedback are important to us and help us make the Bailey House the best it can be for future guests.

Full Name

Cell Phone

Home Phone

Address

Were you greeted personally by the Bailey House manager? Always, Usually, Sometimes, Rarely, Never, N/A

If you had questions regarding the hospital or care of your family member, did the Bailey House manager assist you in resolving your questions? Always, Usually, Sometimes, Rarely, Never, N/A

Do you feel your privacy was respected while staying at Bailey House? Always, Usually, Sometimes, Rarely, Never, N/A

Would you say your stay at Bailey House was a positive experience? Always, Usually, Sometimes, Rarely, Never, N/A

Would you recommend Bailey House to others? Yes or No

Photo

Please attach any photos you may wish to share regarding your stay at Bailey House.

Agreement

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