Patient Satisfaction Template 2 -Form Fill

1.1

Choose one option from each category- Cleanliness of hospital

1.2

Choose one option from each category- Attentiveness of nurses

1.3

Choose one option from each category- Attentiveness of doctors

1.4

Choose one option from each category- Availability of medication

1.5

Choose one option from each category- Staying facility for family members

1.6

Do you think our doctors are skilled enough in treating you?

1.7

Do you think you were provided with all the required facilities during your stay?

1.8

Do you think the pillows and bedsheets in your room were clean and tidy?

1.9

How would you rate the overall facilities provided to you during your stay? (out of 5)