| Information & Reception |
| 1 |
How satisfied are you with the encounter and response of the reception staff? |
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| 2 |
How satisfied are you with the duration of your admission? |
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| 3 |
How satisfied are you with the effect of hospital signs and board? |
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| Security |
| 4 |
How satisfied are you with the behavior of the security personnel? |
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| Nursing Care |
| 5 |
How satisfied are you with the encounter and response of the nurses? |
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| 6 |
How satisfied are you with the training received from the nurses (upon admission, stay, discharge)? |
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| 7 |
How satisfied are you with the behavior and response of the nurse assistants? |
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| 8 |
How satisfied are you with the timely presence and care of nurses when you declared your need? |
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| 9 |
How satisfied are you with the timely presence of nurse assistants when needed? |
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| 10 |
How satisfied are you with the skills of the nurses and their services? |
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| 11 |
Was the identification bracelet checked during shift handover, and training given? |
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| Medical Care |
| 12 |
How satisfied are you with the treating physician’s behavior and response? |
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| 13 |
How satisfied are you with the specialists on-time visit and examination? |
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| 14 |
How satisfied are you with the training and guidance provided by your physician? |
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| 15 |
How satisfied are you with access to physicians during hospitalization? |
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| 16 |
How satisfied are you with the effectiveness of treatments and medical care? |
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| Sanitation & Hygiene |
| 17 |
How satisfied are you with the behavior of service/cleaning staff? |
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| 18 |
How satisfied are you with the cleanliness of your room and ward? |
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| 19 |
How satisfied are you with the cleanliness of toilets in room and hall? |
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| Hoteling & Facilities |
| 20 |
How satisfied are you with patient & attendant amenities (TV, companion bed, etc.)? |
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| 21 |
How satisfied are you with transfer facilities (wheelchairs, stretchers, ambulance)? |
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| 22 |
How satisfied are you with bed equipment (mattresses, blankets, bedsheets)? |
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| Nutritional Care |
| 23 |
How satisfied are you with food variety? |
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| 24 |
How satisfied are you with the temperature, serving quality, taste and smell of food? |
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| 25 |
How satisfied are you with the portion and volume of food? |
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| Discharge Process |
| 26 |
How satisfied are you with the duration of the discharge process? |
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| 27 |
How satisfied are you with the behavior of the discharge staff? |
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| 28 |
How satisfied are you with the bedside discharge process? |
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| 29 |
How satisfied are you with the behavior of the billing / accounting staff? |
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| Paraclinical Services |
| 30 |
How satisfied are you with the laboratory staff encounter and response? |
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| 31 |
How satisfied are you with the radiology staff encounter and response? |
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| 32 |
How satisfied are you with the pathology staff encounter and response? |
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| 33 |
How satisfied are you with the sonography staff encounter and response? |
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