Satisfaction questionnaire

In The

Name Of God

Patient Satisfaction Questionnair

 

Dear patient

This questionnaire is designed to measure your satisfaction with the treatment and performance of hospital support units. Please answer the questions carefully so that you can contribute to increasing the quality of the service provided. It should be noted that your answers will be anonymous and confidential and completing this form will have no impact on your treatment process. Thanks in advance for your sincere cooperation.

Patient age:	Material:	marital status:
Education:
the part:	History:	completed by:

Topic	Evaluation items
Very satisfied	Satisfied
	Your satisfaction with the information you ned about the type of insurance / costs / room type and so on
	Your satisfaction with the speed of work and the waiting time
Medical staff	Your satisfaction with the attitudes and responsiveness of physicians
	Your satisfaction with the training provided during treatment and discharge by the physician
Nursing staff	Your satisfaction with how nurses treat patients and their companions
	Your satisfaction with the way nurses provide services and care
	Your satisfaction with the training provided by nurses
surgery room	Your satisfaction with the treatment and behavior of the operating room staff
	Your satisfaction with the operation and how the operating room is accepted
Discharge and Box	How satisfied are you with the attitude of the discharged personnel
	Your satisfaction with advice on insurance matters
	Your satisfaction with the speed of work and the waiting time
Topic	Evaluation items
Nutrition	Your satisfaction with the amount of food offered in meals
	Your satisfaction with the taste of food
	Your satisfaction with food distribution
Services	How satisfied are you with the way the service personnel treat you
	Your satisfaction with the hygienic, room, bathroom and more
Welfare Facilities	Your satisfaction with the relaxation in the ward
	Your satisfaction with room ventilation
	Your satisfaction with the facilities for the patient (chairs, food, bed, etc.)
	Your satisfaction with the existing communication facilities (telephone, etc.)

Will you come to Noor Restricted Surgery Center if you need to be re-treated?

Would you recommend this hospital if you need to be hospitalized with relatives and friends?

What solution or suggestion can you offer to improve and improve the service of this center?

 

Suggestion / Suggestion / Criticism:

Phone number: