Patient Satisfaction Questionnaire for Outpatient (Emergency) Clinic
Hello, comrade, you are welcome to come to our hospital for treatment, and please evaluate the service of the medical and nursing staff that you come into contact with according to your personal feelings. We will further improve our work according to your assessment to create a "good service, good quality, good medical ethics, the masses are satisfied with" the "three good and one satisfied" medical environment for you.
Thank you for your cooperation!
Your medical department:
1. Your waiting time for outpatient (emergency) consultation
□ less than 10 minutes □ 10 to 29 minutes □ 30 to 59 minutes □ 1 hour to 2 hours □ more than 2 hours
2. Your feeling of the service attitude of the doctor in outpatient (emergency) clinic
□ satisfied □ basically satisfied □ general □ dissatisfied
3. p>
3. Whether you can answer patiently when you ask the doctor of outpatient (emergency) clinic
□Yes □General □Not possible
4. Whether you can be treated according to the order of registration
□Yes □General □Not possible
5. Whether the doctor who you registered with can be on time
□Yes □General □Not possible
6. Whether the doctor can be detailed and patient in the consultation when you visit the doctor
6. Whether the doctor's questioning during your visit is detailed and patient
□Yes □General □No
7. Your feeling about the doctor's diagnosis and treatment technique
□Satisfied □Basically satisfied □General □Unsatisfied
8. Whether you feel that the doctor prescribes large amount of money
□Yes □Possibly yes □No
9. p> □Yes □Maybe □No
10. Have you ever encountered the phenomenon of private cash collection by medical staff in the process of medical treatment
□Yes (Amount: yuan) □No Charge Room
1. Your waiting time in line for hospitalization fee payment
□ Less than 5 minutes □5-9 minutes □10-19 minutes □20-29 minutes □30 minutes and above
2. p>
2. You think that the order of the queue for payment in our hospital
□ orderly □ general □ disordered
3. You feel that the service attitude of the staff in the charging room
□ satisfied □ basically satisfied □ general □ dissatisfied
4. You feel that the efficiency of the service of the staff in the charging room (speed of handling business)
□ satisfied □ basically satisfied □ General □ Dissatisfied
5. Whether you can answer the inquiries of the staff of the fee collection office patiently
□ Yes □ General □ No 1. Your waiting time in the queue of the Pharmacy Department (Pharmacy)
□ Less than 5 minutes □ 5-9 minutes □ 10-19 minutes □ 20-29 minutes □ 30 minutes and above
2. Your queuing order in the Pharmacy Department (Pharmacy)
□Orderly □General □Disorderly
3. Your feeling about the service attitude of the staff in the Pharmacy Department (Pharmacy)
□Satisfied □Basically satisfied □General □Unsatisfied
4. Your feeling about the efficiency of the staff in the Pharmacy Department (Pharmacy)
□Satisfied □Basically satisfied □General □Unsatisfied
5~9 minutes □10~19 minutes □20~29 minutes □30 minutes and above
2. Satisfaction
5. Whether you can answer the inquiries of the staff of the Pharmacy Department (Pharmacy) patiently
□Yes □General □No 1. Your waiting time in the laboratory queue at the Laboratory Department
□ Less than 5 minutes □5-9 minutes □10-19 minutes □20-29 minutes □30 minutes and above
2. Order
□ Orderly □ General □ Disorderly
3. Your feeling about the service attitude of the staff of the Laboratory Department
□ Satisfied □ Basically Satisfied □ General □ Dissatisfied
4. Your feeling about the efficiency of the service of the staff of the Laboratory Department (speed of processing business)
□ Satisfied □ Basically Satisfied □ General □ Dissatisfied
5. Whether you can answer the inquiries from the staff of the Laboratory Department patiently
□Yes □General □No 1.Your waiting time in the queue of the Radiology Department (X-rays, fluoroscopy)
□Under 5 minutes □5-9 minutes □10-19 minutes □20-29 minutes □30 minutes and above
2.The order of the queue of the Radiology Department (X-rays, fluoroscopy)
□Orderly □General □Disorderly
3. Your feeling about the service attitude of the staff of Radiology Department (X-ray, fluoroscopy)
□Satisfied □Basically satisfied □General □Dissatisfied
4. Your feeling about the service efficiency of the staff of Radiology Department (X-ray, fluoroscopy) (speed of processing) □Satisfied □Basically satisfied □General □Dissatisfied
5. 5. Whether you can answer the inquiries of the staff of the Radiology Department (X-ray and fluoroscopy) patiently
□Yes □General □No 1. Your waiting time in the line of the Function Department (ultrasound, color ultrasound, electrocardiogram)
□Under 5 minutes □5～9 minutes □10～19 minutes □20～29 minutes □30 minutes and above
2. Ultrasound, color ultrasound, electrocardiogram)
□Orderly □General □Disorderly
3. Your feeling about the service attitude of the staff of the Functional Department (ultrasound, color ultrasound, electrocardiogram)
□Satisfied □Basically satisfied □Generally □Unsatisfied
4. Your feeling about the efficiency of the staff of the Functional Department (ultrasound, color ultrasound, electrocardiogram) (the speed of processing)
5 to 9 minutes □10 to 19 minutes □20 to 29 minutes □30 minutes and above
2. Your feeling about the service efficiency (processing speed) of the staff of the Function Department (ultrasound, color ultrasound, electrocardiogram)
□ Satisfied □ Basically satisfied □ General □ Dissatisfied
5. Whether you can patiently answer the inquiries from the staff of the Function Department (ultrasound, color ultrasound, electrocardiogram) □ Can □ General □ Can't 1.Your waiting time for queuing up in the operating room
□ Less than 5 minutes □ 5-9 minutes □ 10-19 minutes □ 20-29 minutes □ 30 minutes and above
2. Minutes and above
2. The order of your queue in the operating room
□ Orderly □ General □ Disorderly
3. Your feeling about the service attitude of the staff in the operating room
□ Satisfied □ Basically satisfied □ General □ Unsatisfied
4. Your feeling about the efficiency of the staff in the operating room (speed of operation)
□ Satisfied □ Basically satisfied □ General □ Unsatisfied
5. Satisfied □Basically satisfied □Generally □Dissatisfied
5. Whether you can patiently answer the inquiries made by the staff of the operating room
□Yes □Generally □No What other complaints and suggestions do you have, please briefly describe them in words
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