Date of experience Date of experience: Year Year20222023202420252026 Date of experience: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date of experience: Day Day12345678910111213141516171819202122232425262728293031 Was Regional West your first choice for this patient entry/transfer event? Yes No How satisfied were you with the timeliness with which your transfer request into Regional West was handled? Extremely satisfied Very satisfied Satisfied Somewhat satisfied Not satisfied How satisfied were you with the clinical interaction that you had with Regional West staff during the transfer process? Extremely satisfied Very satisfied Satisfied Somewhat satisfied Not satisfied Were your expectations of the Transfer Center process met? Absolutely Yes Somewhat No Are there other concerns or comments that you have regarding Regional West's patient entry/transfer process? Name Facility Email Address Submit
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