MERCY Rehabcentre Survey Dear Discharge Planner: We at Mercy rehabcentre would like to take this opportunity to say it has been a pleasure working with you. We are constantly striving to provide the best possible service to you and your patients. Your evaluation of our program is very important to us and will help us improve our services. Please rate the level of customer service you received on a scale of 1 (Very Poor) to 5 (Excellent) 1 2 3 4 5 Not Applicable Did a representative of Mercy rehabcentre see your patient promptly after your initial referral/inquiry? Was admission/denial decision given in a timely manner (4 hours or less)? If the patient was denied, were the reasons for denial explained to your satisfaction? Were you provided with alternative options? Was the patient directed back to your community's Health Care System? (i.e. primary physician's care, outpatient services, home health services) Any feedback I have received regarding Mercy rehabcentre has been.............. The last time you referred a patient to Mercy rehabcentre was: 1 to 3 months ago 4 to 6 months ago 7 to 12 months ago Over a year ago Have not had the opportunity to refer to Mercy rehabcentre Will you refer to Mercy rehabcentre again? Yes No Comments: Are Mercy rehabcentre representatives professional and courteous? Yes No Comments: What services would you like to see Mercy rehabcentre improve or develop to meet your needs and the needs of your patients? Completed by:  (Please check one of the following) Physician Nurse Practitioner Physician's Nurse Physician's Assistant Nurse Discharge Planner Physical Therapist Occupational Therapist Home Health Nurse Social Worker Speech Language Pathologist Name (optional): Thank you for taking the time to complete this survey.  By selecting the FINISH button below your responses will be electronically submitted and you will be taken to the Mercy Health System of Kansas internet site.