MarinHealth Emergency Department Experience Survey

MarinHealth Emergency Department Experience Survey
Instructions

• This survey asks about your visits to the MarinHealth Emergency Department (ED).

• Please answer as best you can. You may skip any question.

• Your answers are anonymous unless you choose to share contact information at the end.
Please list the dates (or best estimate) of each time you visited the MarinHealth ED since October 2019.
Since October 2019, which of the following happened during any MarinHealth visit? (Check all that apply.)

I was treated in a MarinHealth Emergency Department room.I was placed in a secure observation room or involuntary holding room.Not sure / I don’t remember
Your Hospital Admission and Privacy
Do you remember being asked to sign a form called “Conditions of Admission” before you were admitted to the ED?

Yes, for every visitNo, neverYes, for some visits onlyI don’t remember
If you were asked to sign it, did you have enough time to read it and ask questions before signing?

YesNoNot applicable / I did not sign itI don’t remember
During your ED visit, did you expect MarinHealth to follow patient privacy laws (like HIPAA)?

YesNoNot sure / I don’t remember
During your ED visit, did you give MarinHealth permission to record you on video while you were in your hospital room?

YesNoNot sure / I don’t know
During your ED visit, did you give MarinHealth permission to send video footage (a "live feed") showing you in your hospital room?

YesNoNot sure / I don’t know
If you gave permission for recording or a live feed, what did you think would happen?

I thought MarinHealth would tell me before they started recording or sending live video.I did not expect any more warning before recording or live video.None of these: I did not give permission for recording or live video.
Your Hospital Room(s)

Please answer the following only for your MarinHealth ED visits, not other visits you have made to MarinHealth. If you were treated in more than one room during any ED visit, base your answers only on the hospital rooms you were placed in (not labs, radiology, or other departments).
After you were placed in an hospital room, were you moved to a different room during that visit?

YesNoNot sure / I don’t remember
In your room, were you asked to take off clothing or change into a hospital gown? (Check all that apply.)

I was asked to take off some or all of my clothing.I was asked to change into a hospital gown.None of theseNot sure / I don’t remember
What kinds of care did you receive in your room? (Check all that apply.)

ExamTreatmentMedicine givenVitals takenMedical testingNot sure / I don’t remember
During any ED visit, which of the following described you? (Check all that apply.)

I was sick and/or threw up.I was in extreme pain.I felt vulnerable.I was seeking or received mental health/psychiatric care.I was there for a private or sensitive medical condition.I was in custody of the California Department of Corrections.None of theseNot sure / I don’t remember
Were any other patients in the same room with you at any time?

YesNoNot sure / I don’t remember
Were you left alone in the room at any time?

YesNoNot sure / I don’t remember
When you were alone in the room, what did you believe about privacy?

I believed I had privacy while alone in the room.I did not believe I had privacy while alone in the room.I was never alone, but I believed I had privacy in the room.I was never alone, and I did not believe I had privacy in the room.
If you believed you had privacy, why did you believe that? (Check all that apply.)

I was alone and had no reason to think I was being watched or recorded.No one told me I was being watched or recorded.Based on my life experience, I did not expect cameras in a hospital room.
During your visit, did you notice a ceiling camera in your hospital room?

YesNoNot sure / I don’t remember
If you noticed a ceiling camera, did you think it was recording you?

YesNoNot sure / I don’t remember
If you learned you were recorded or watched in your room, how would that affect you? (Check all that apply.)

I would feel my privacy was violated.I would trust the health care system less.I would feel distress/upset.I would feel anxiety.None of the above.
Patients Placed in Involuntary Holds

Please answer the next four questions ONLY IF you were placed in an involuntary or psychiatric hold during your ED visit.
During the time you were in your holding room, did you know there was a ceiling camera in the room?

YesNoNot sure / I don’t remember
When you were alone in your holding room, were you watched?

I don’t know of anyone watching me while I was alone.Someone checked on me sometimes through the window.Someone watched me constantly through the window.Not sure / I don’t remember
Did you believe you had privacy during the times you were alone in your room?

I thought I had privacy unless someone was in the room or watching through the window.I did not believe I had privacy.Not sure / I don’t remember
During your ED visit, were your under the influence of drugs/alcohol, or seeking help for substance abuse problems?

YesNoNot sure / I don’t remember
Notices About this Lawsuit
Did you receive a notice from MarinHealth in November 2025 about the lawsuit?

YesNoNot sure / I don’t remember
If yes, was that the first time you heard about the lawsuit?

YesNoNot sure / I don’t remember
If you received the notice, what did you understand from it? (Check all that apply.)

There is a lawsuit about recording and sending video from private patient rooms.During my ED visit, I may have been in a room where my care could have been recorded or sent as a live feed.There is a lawsuit about recording/sending video, but it has nothing to do with whether I personally was recorded or watched.Not sure / I don’t remember
After the notice, did you contact MarinHealth for more information or to ask if you may have been recorded/watched?

YesNoNot sure / I don’t remember
If you contacted MarinHealth, how did you feel afterward?

My concerns were fully resolved.My concerns were partly resolved, but I still had concerns.My call/communication raised more questions.Not sure / I don’t remember
What do you believe today about your MarinHealth ED visit?

I may have been recorded or watched.I do not believe I was recorded or watched.I am not sure what to believe.
How concerned are you today about the possibility you were recorded or watched?

Very concernedSomewhat concernedNot concernedNot sure
If you came to learn that you were recorded or watched, how likely is it that your feelings would change?

Very likelySomewhat likelyNot likelyNot sure
Since learning about these allegations, have you experienced any of the following? (Check all that apply.)

I felt concern, distress, or anxiety.I felt violated.I spent time trying to find out whether I was recorded.I felt frustrated because I received conflicting information.I worry about going back to MarinHealth because of this incident.None of theseNot sure / I don’t remember
When and how did you first hear that patients in some MarinHealth rooms may have been recorded or had video sent?
If we have questions about your answers, may we contact you?

YesNo
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MarinHealth Emergency Department Experience Survey

Instructions

Your Hospital Admission and Privacy

Your Hospital Room(s)

Patients Placed in Involuntary Holds

Notices About this Lawsuit