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Patient Satisfaction Template 4 -Form Fill
Q1
How long did you stay in our hospital?
Q2
On an average how many medicines you were required to have on a single day?
Two or less
Three to six
Six to twelve
More than twelve
Q3
Were your medicines easily available at our chemist store?
Yes, mostly
At times
Rarely
Never
Q4
Do you think our chemists are efficient enough?
Yes
Somewhat
No
Q5
Did you ever feel the need to buy medicines from outside our hospital?
Yes, mostly
At times
Rarely
Never
Q6
Do you think the medicines inside our hospital are available at reasonable cost?
Yes,mostly
A few
No
Q7
Do you think our chemist store needs to be more organised?
Yes
Somewhat
No
Q8
Did you ever buy any expired medicine from our store?
Yes
No
Q9
Do you want to suggest any improvement in availability of medication or pharmaceutical services?
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