Stroke Program Survey

During your discharge, the nurse should have reviewed the medications you need to take after leaving the hospital. Please list any important medications you were prescribed, explain their purpose, and note any possible side effects you were informed about. *

Did the staff clearly explain your risk factors for stroke and how to prevent another one in a way that was easy to understand?

Yes.

No.

If answered yes, please explain below how you could prevent another stroke.

Did you or your loved one receive education during the stay on recognizing and understanding the signs and symptoms of a stroke using the B.E. F.A.S.T. method?

Yes. Signs and symptoms using acronym above.

No.

If answered yes, please explain the signs and symptoms of a stroke using the BEFAST method.

Were you provided with education during your stay about when, how, and why it is important to call 911 if stroke-like symptoms occur?

Yes. Explain why calling 911 is important.

No.

If answered yes, please explain why calling 911 is important.

How were you involved in your plan of care and the decisions made during your stay and after discharge?

What improvements can Lima Memorial make to ensure that both patients and their families feel comfortable and supported during their stay?

Please leave your name and number if you are open to receiving a phone call from our team to discuss your experiences. Your feedback is essential in helping us improve your care.

Name:

Phone Number:

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