The NICU was easy to locate.

  Yes      No      None

While visiting my baby in the NICU, there was a comfortable place to sit.

  Yes      No      None

The NICU was clean.

  Yes      No      None

While in the NICU, I felt that my baby was safe from outsiders.

  Yes      No      None

I felt that adequate time was given to prepare for discharge.

  Yes      No      None

I felt prepared to take my baby home when he/she was discharged from the NICU.

  Yes      No      None

The discharge process was not rushed.

  Yes      No      None

I understood all of the tests and treatments my baby received.

  Yes      No      None

I understood all of my baby's conditions.

  Yes      No      None

I felt that my family participation was encouraged.

  Yes      No      None

I was comfortable with the family visitation process.

  Yes      No      None

The Neonatologist frequently informed me about my baby's progress during his/her hospitalization.

  Yes      No      None

The Neonatologist explained my baby's condition and the treatment and tests he/she received in a clear and understandable manner.

  Yes      No      None

I felt comfortable asking the Neonatologist for information regarding my baby's progress.

  Yes      No      None

The Neonatal Nurse Practitioner (NNP) frequently informed about my baby's progress during his/her hospitalization.

  Yes      No      None

The NNP explained my baby's condition and treatment and tests he/she received in a clear and understandable manner.

  Yes      No      None

I felt comfortable asking the NNP for information regarding my baby's progress.

  Yes      No      None

I felt comfortable approaching NICU staff to obtain further information regarding my baby's progress.

  Yes      No      None

I knew the appropriate NICU staff member to approach when I needed additional information.

  Yes      No      None

NICU staff encouraged me to approach when I needed additional information.

  Yes      No      None

NICU staff encouraged me to actively participate in my baby's care.

  Yes      No      None

I participated in decisions about my baby's care.

  Yes      No      None

I felt that I was part of the team caring for my baby.

  Yes      No      None

The Billing staff was helpful and courteous

  Yes      No      None

The Billing statement was easy to understand.

  Yes      No      None

I was made aware of all Billing procedures.

  Yes      No      None

During your baby's hospital stay, did any member of the NICU staff go above and beyond to provide excellent care to both you and your baby?

  Yes      No      None

Name of Hospital:

Do you have any suggestions for future improvements?

  Yes      No      None

General comments

Would you like to be contacted to discuss your survey response?

  Yes      No      None

If so, please provide us with a contact number and the best time to reach you.