• 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.

  • Since October 2019, which of the following happened during any MarinHealth visit? (Check all that apply.)

  • 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?
  • If you were asked to sign it, did you have enough time to read it and ask questions before signing?
  • During your ED visit, did you expect MarinHealth to follow patient privacy laws (like HIPAA)?
  • During your ED visit, did you give MarinHealth permission to record you on video while you were in your hospital room?
  • During your ED visit, did you give MarinHealth permission to send video footage (a "live feed") showing you in your hospital room?
  • If you gave permission for recording or a live feed, what did you think would happen?

  • 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?
  • In your room, were you asked to take off clothing or change into a hospital gown? (Check all that apply.)
  • What kinds of care did you receive in your room? (Check all that apply.)
  • During any ED visit, which of the following described you? (Check all that apply.)
  • Were any other patients in the same room with you at any time?
  • Were you left alone in the room at any time?
  • When you were alone in the room, what did you believe about privacy?
  • If you believed you had privacy, why did you believe that? (Check all that apply.)
  • During your visit, did you notice a ceiling camera in your hospital room?
  • If you noticed a ceiling camera, did you think it was recording you?
  • If you learned you were recorded or watched in your room, how would that affect you? (Check all that apply.)

  • 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?
  • When you were alone in your holding room, were you watched?
  • Did you believe you had privacy during the times you were alone in your room?
  • During your ED visit, were your under the influence of drugs/alcohol, or seeking help for substance abuse problems?

  • Notices About this Lawsuit

  • Did you receive a notice from MarinHealth in November 2025 about the lawsuit?
  • If yes, was that the first time you heard about the lawsuit?
  • If you received the notice, what did you understand from it? (Check all that apply.)
  • After the notice, did you contact MarinHealth for more information or to ask if you may have been recorded/watched?
  • If you contacted MarinHealth, how did you feel afterward?
  • What do you believe today about your MarinHealth ED visit?
  • How concerned are you today about the possibility you were recorded or watched?
  • If you came to learn that you were recorded or watched, how likely is it that your feelings would change?
  • Since learning about these allegations, have you experienced any of the following? (Check all that apply.)
  • If we have questions about your answers, may we contact you?
  • Format: (000) 000-0000.
  • Should be Empty: