# Clinic companion information survey

Clarify companion attendance communications.

If nothing was unclear or difficult, say so. Skip questions about steps you did not experience; use not applicable where appropriate.

## 1. What attendance information did you receive?

Answer: ____________________

## 2. Which companion rule needed explanation?

Answer: ____________________

## 3. What arrival detail was missing?

Answer: ____________________

## Author notes / illustrative keys where applicable

1. Read for received information. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
2. Read for rule clarity. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
3. Read for arrival gap. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.

Interpretation caution: Do not ask why someone needs support.