Facilities In Hospital Survey
  • Rate your satisfaction level with the following aspects of the facility:
    (Very dissatisfied ) 1 - - 2 - - 3 - - 4 - - 5 (Very satisfied )
    State of technology
    Cleanliness
    Orderliness
    Staff management
    Patient management
    Service
  • Rate the accessibility of the facilities:
    (Inaccessible ) 1 - - 2 - - 3 - - 4 - - 5 (Very accessible )
    Bathrooms and handicapped bathrooms
    Cafeterias
    Waiting rooms
    Play areas
    Parking and drop off
  • Was the hospital easy to navigate?
  • Were there any facilities that did not meet expectations? Please specify below.
  • Are there any facilities that you would like to be made available to you? Please list them below.
  • Is there anything that can be improved?

That's all, folks!

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