Welcome to PatientVoice

Welcome to the Allegiance patient feedback forum. We are an objective third party committed to making sure your voice is heard by MountainView Hospital. Your constructive feedback is welcomed and will be sent to MountainView Hospital for a response.

Before submitting your comments, you will have the option to remain anonymous.

My message is a:





PatientVoice Feedback Information

My compliment is regarding (a selection must be made to continue):

Please describe your compliment:


Spell Check

What are some ways that MountainView Hospital can improve?


Spell Check

Is this regarding a particular employee? If yes, input employee name. If no or unsure, leave blank.

Estimate the date of service.

     

How many times have you been a MoutainView Hospital patient?

PatientVoice Contact Information

Required fields are marked with an asterisk (*).

Do you wish to remain anonymous for this feedback?


*First name:

*Last name:

*E-mail address:

*Re-enter e-mail address:

*Phone:

Address line 1:

Address line 2:

City:                                           State:       Zip code:

             

I want a response:

Yes, as soon as possible.
No, I don't require a response; however, MountainView Hospital may respond if they wish.
I don't want a response.

I prefer contact via:

E-mail    Phone    Letter

PatientVoice Optional Survey

MountainView Hospital requests that you take a brief moment to answer the following questions.

If you wish to skip this survey, submit your comments now. If you have time, answer the following questions.

Overall, how satisfied are you with MountainView Hospital:

If the need arises, would you prefer to be a patient at MountainView Hospital in the future:

If the need arises, would you recommend MountainView Hospital as a place of treatment to a friend or family member:

What information did you primarily rely on in selecting MountainView Hospital:

  Strongly Agree Somewhat Agree Undecided Somewhat Disagree Strongly Disagree
I can rely on MountainView Hospital to deliver outstanding quality, service and value:
MountainView Hospital values your relationship and really cares about you:
MountainView Hospital employs outstanding, knowledgeable employees:
MountainView Hospital listens well and responds quickly to requests:
You trust MountainView Hospital personnel to behave with fairness and integrity:
MountainView Hospital makes it simple for you to receive needed healthcare:

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