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Eastern State Hospital Patient Satisfaction Survey

Please rate the following areas:

Page One

1. I feel I have input into my treatment process

2. I understand my discharge goals.

3. I am familiar with ways to voice complaints

4. I feel my environment is safe

5. ESH is preparing me for discharge

6. I follow a wellness recovery plan

7. I am motivated to stay out of the hospital

8. Please rate your overall experience at Eastern State Hospital

Very Bad Experience	Bad Experience	Somewhat Good Experience	Good Experience	Very Good Experience

9. Comments

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