12 Month Hospital Satisfaction Survey

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0

Hospital
0

Title
0

Rate how satisfied you were with the following aspects of the hospital in the past year:

Very dissatisfied

Very satisfied

State of technology

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Staff management

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Patient management

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Orderliness

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Cleanliness

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Service

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Catering

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied
0

How satisfied were you with the medical staff?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How effective was your medical treatment?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How effective was the pharmaceutical service?
Unsatisfactory

Poor

Fair

Good

Excellent
0

What was most memorable about the hospital over the year?

0 / 5000
0

Who among the staff left the best impression? Why?

0 / 5000
0

Who among the staff left the worst impression? Why?

0 / 5000
0

Who among the doctors left the best impression? Why?

0 / 5000
0

Who among the doctor left the worst impression? Why?

0 / 5000
0

Overall, how satisfied were you with the hospital in the past year?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How can we improve? Comment briefly below.

0 / 5000

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0

Hospital
0

Title
0

Rate how satisfied you were with the following aspects of the hospital in the past year:

Very dissatisfied

Very satisfied

State of technology

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Staff management

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Patient management

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Orderliness

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Cleanliness

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Service

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Catering

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied
0

How satisfied were you with the medical staff?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How effective was your medical treatment?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How effective was the pharmaceutical service?
Unsatisfactory

Poor

Fair

Good

Excellent
0

What was most memorable about the hospital over the year?

0 / 5000
0

Who among the staff left the best impression? Why?

0 / 5000
0

Who among the staff left the worst impression? Why?

0 / 5000
0

Who among the doctors left the best impression? Why?

0 / 5000
0

Who among the doctor left the worst impression? Why?

0 / 5000
0

Overall, how satisfied were you with the hospital in the past year?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How can we improve? Comment briefly below.

0 / 5000