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Regional Medical Center of San Jose
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Good Samaritan Hospital
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Patient Experience Survey

We want to hear from you about your patient experience at Regional Medical Center.  You may receive a call or survey by mail after you are discharged.  We hope you will take a few minutes to complete the survey because we value your feedback.

You may leave your comments here as well.  We love to recognize the good performance of our staff as well as offer instruction if we did not meet your expectations.

Would you like to receive a response?:

General Internet communication is inherently not secure. For this reason, we highly recommend that data considered confidential or private in nature not be submitted on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.)