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RMHC Michiana family survey

It is our mission to serve families of sick and injured children at Beacon Children’s Hospital, Memorial Hospital and Memorial Epworth Center in South Bend. In order to provide the highest quality care possible, we ask for feedback from our families upon checkout. If you have received this survey, please take your time and let us know about your experience. You are always part of the RMHC Michiana family!

Fields marked with an * are required
How did you learn about the services at RMHC Michiana? *
Was an overnight room offered to you at the time you were referred by the hospital? *
How satisfied were you with the services provided to your family? *
How did RMHC Michiana's services impact your level of stress? *
How did RMHC Michiana's services impact your financial burden? *
Were the meals we provided important to your stay? *
Were the showers/bathrooms we provided important to your stay? *
Was the environment of the House important to your stay? *
Were the laundry services provided important to your stay? *
Were the overnight bedrooms important to your stay? *
Was the children's playroom important to your stay? *
What other service(s) would you like to see that we currently do not provide? (select all that apply) *
Did our volunteers make you feel welcomed and assist you during your stay? *
Did you utilize the Coffee Cart when it came to your child's hospital unit? *
Would you be willing to share your story with RMHC Michiana to raise awareness of our services through our email newsletter, social media, and other external publications? *
Would you like to stay anonymous? *

We need the following information to gather responses to the survey. If you have requested to stay anonymous, we will not contact you for your story. Check the box below if you would like to receive our monthly email newsletter. If this box is not checked, you will not receive regular emails from us.