Hospital Performance Evaluation 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
  • Were you admitted into the hospital?
  • What is the reason for admission?
  • How effective was the healthcare administered?
  • How thorough were the doctors during the checkup?
  • Were clear explanations provided before treatment?
  • please specify:
  • How effective was the pharmaceutical service?
  • Were the pharmacists friendly?
  • Did the pharmacist listen to your concerns before finding treatment?
  • please explain:
  • Was the pharmacist’s explanation of your medication clear?
  • please explain:
  • Was the hospital easy to navigate?
  • How satisfied are you with the overall experience?
  • Is there anything that can be improved?

That's all, folks!

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