Outpatient Satisfaction Survey Form
Hello:
In order to further improve the medical environment, service attitude and service quality of a certain hospital, please help us do this A survey, answer the following questions truthfully, thank you for your support!
A hospital
1. Satisfaction with medical counselors. Satisfied Unsatisfied
2. Satisfaction with the service attitude of toll collectors.
3. Satisfaction with doctor's diagnosis and treatment level.
4． Satisfaction with doctor's service attitude.
5. Satisfaction with technical operations of nurses in the injection room.
6. Satisfaction with nurses' service attitude.
7. Satisfaction with the service attitude of pharmaceutical staff.
8． Satisfaction with the service attitude of laboratory personnel.
9． Satisfaction with the service attitude of diagnostic ultrasound department staff.
10． Satisfaction with medical procedures and guidelines.
11. Satisfaction with the medical environment.
12． Which doctor are you most satisfied with?
13. Which department are you most satisfied with?
14. Are you willing to introduce other patients to our hospital?
Your suggestions:
Your contact number:
Discharge Patient Satisfaction Survey Form
Hello:
In order to further improve the medical environment, service attitude, and service quality of a certain hospital, please help us conduct a survey and answer the following questions truthfully. Thank you for your support!
A certain hospital
1. Satisfaction with the convenience of admission and discharge procedures. Satisfied Unsatisfied
2. How satisfied are you with the reception you received from the medical staff when you first entered the ward?
3. Satisfaction with the cleanliness of the ward.
4． Satisfaction with hospital charges.
5. Satisfaction with medical staff’s answers to questions.
6. Satisfaction with nurses' nursing work (such as dispensing medicine, cleaning care, etc.).
7. Satisfaction with nurses' operating techniques (such as injections, dressing changes, etc.).
8． Satisfaction with whether medical staff can arrive in time when medical staff are needed in the ward.
9． Satisfaction with the service attitude of pharmacy staff.
10． Satisfaction with the service attitude of laboratory personnel.
11. Satisfaction with the service attitude of diagnostic ultrasound department staff.
12． Satisfaction with doctors’ medical skills.
13. Satisfaction with treatment effects.
14. Satisfaction with hospital security work.
15. Have medical staff taken the initiative to introduce health education knowledge to you?
16. Did the medical staff follow up with you by phone after discharge?
17. Are you willing to introduce other patients to our hospital?
18. Which doctor were you most satisfied with during your hospitalization?
19． The nurse you were most satisfied with during your hospitalization?
Your suggestions:
Your contact number: