Facilities in Hospital Survey

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0

Rate your satisfaction level with the following aspects of the facility:

Very dissatisfied

Very satisfied

State of technology

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

Orderliness

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

Service

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied
0

Rate the accessibility of the following facilities:
(Inaccessible ) 1 - - 2 - - 3 - - 4 - - 5 (Very accessible )

Inaccessible

Very accessible

Bathrooms

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Bathrooms for the differently abled

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Cafeterias

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Waiting rooms

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Play areas

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Parking and drop off

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible
0

How easy to navigate was the hospital?
Not at all

Slightly

Moderately

Very

Extremely
0

Were there any facilities that did not meet expectations?
Yes

No
0

Please elaborate below

0 / 5000
0

Are there any facilities that you would like made available to you?
Yes

No
0

Please list them below.

0 / 5000
0

How can we improve?

0 / 5000

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0

Rate your satisfaction level with the following aspects of the facility:

Very dissatisfied

Very satisfied

State of technology

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

Orderliness

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

Service

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied
0

Rate the accessibility of the following facilities:
(Inaccessible ) 1 - - 2 - - 3 - - 4 - - 5 (Very accessible )

Inaccessible

Very accessible

Bathrooms

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Bathrooms for the differently abled

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Cafeterias

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Waiting rooms

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Play areas

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible

Parking and drop off

Inaccessible

Very accessible

1 Inaccessible

2

3

4

5 Very accessible
0

How easy to navigate was the hospital?
Not at all

Slightly

Moderately

Very

Extremely
0

Were there any facilities that did not meet expectations?
Yes

No
0

Please elaborate below

0 / 5000
0

Are there any facilities that you would like made available to you?
Yes

No
0

Please list them below.

0 / 5000
0

How can we improve?

0 / 5000