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

Email

Share Your Story - If you're grateful for your Bailey House experience, we want to know! Because the Bailey House is made possible by donor support, it's important for us to be able to share its impact with the community, and when you share your story, you're helping us to do exactly that. We hope you consider taking a few minutes to share how Bailey House helped you in your time of need. Your story ensures Bailey House remains a 24-hour facility, providing families with lodging free of charge while their loved one is in the hospital.

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.

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Agreement

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