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They were based on overall satisfaction for sales and service. You'd be surprised how many people would express their satisfaction, either way.
My wife worked labor and delivery while her mom worked on the psych/mental health floor.
Hospital they worked at had a similar survey thing for patients.
No one could touch the scores of the labor and delivery section. And their management always pointed to that floor as the level they want to be at across the board.
Not for one second did management even realize that L&D is the only department that people are actually happy to go to the hospital. Of course they are going to score really high on some dumb ass survey.
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