Nursing Satisfaction Survey

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0

Name
0

Date of birth
0

Gender
0

Occupation
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Rate your satisfaction level with the following aspects of the service provided:

Very dissatisfied

Very satisfied

Patient care

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Patient attention

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Patient comfort

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Staff knowledge

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Staff professionalism

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Wait time

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied
0

How was nurse conduct in the absence of doctors?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How was nurse conduct in the presence of doctors?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How frequently did the nurses check up on you while you were waiting?
Not at all

Slightly

Moderately

Very

Extremely
0

How thorough were the nurses when doing their check-up routine?
Not at all

Slightly

Moderately

Very

Extremely
0

How willing were you to discuss issues you had with the nurses?
Not at all

Slightly

Moderately

Very

Extremely
0

How well-informed of the treatment and condition were you?
Not at all

Slightly

Moderately

Very

Extremely
0

How comfortable did the nurses make you feel in general?
Not at all

Slightly

Moderately

Very

Extremely
0

How satisfied are you with the overall experience?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

Is there anything that can be improved?

0 / 5000

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0

Name
0

Date of birth
0

Gender
0

Occupation
0

Rate your satisfaction level with the following aspects of the service provided:

Very dissatisfied

Very satisfied

Patient care

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Patient attention

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Patient comfort

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Staff knowledge

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Staff professionalism

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied

Wait time

Very dissatisfied

Very satisfied

1 Very dissatisfied

2

3

4

5 Very satisfied
0

How was nurse conduct in the absence of doctors?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How was nurse conduct in the presence of doctors?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How frequently did the nurses check up on you while you were waiting?
Not at all

Slightly

Moderately

Very

Extremely
0

How thorough were the nurses when doing their check-up routine?
Not at all

Slightly

Moderately

Very

Extremely
0

How willing were you to discuss issues you had with the nurses?
Not at all

Slightly

Moderately

Very

Extremely
0

How well-informed of the treatment and condition were you?
Not at all

Slightly

Moderately

Very

Extremely
0

How comfortable did the nurses make you feel in general?
Not at all

Slightly

Moderately

Very

Extremely
0

How satisfied are you with the overall experience?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

Is there anything that can be improved?

0 / 5000