Patient Satisfaction Template 3 -Form Fill
1.1
Which doctor was looking after you during your stay in our hospital?
1.2
Do you think the doctor was attentive and listened to your problems patiently?
Yes
At times
No
1.3
Did you visit any other doctor before our treatment?
Yes
No
1.4
Do you think the doctor provide you with appropriate medication?
Yes
Somewhat
No
1.5
Do you think any other doctor would have treated you better?
Yes
No
1.6
Do you think your Doctor was punctual?
Yes
At times
No
1.7
Do you think your doctor gave you more medication than what was required?
Yes
Somewhat
No
1.8
Are you satisfied with the service of doctor, during your stay in our hospital?
Extremely satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Extremely dissatisfied
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