Surveypoint

Q1

During your stay in our hospital, were you satisfied with the cleanliness of your room and hospital?

Extremely satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Extremely dissatisfied

Q2

Do you think all the equipment’s available in our hospital are of good standards?

Yes

Somewhat

No

Q3

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

Yes

Somewhat

No

Q4

Was your room regularly cleaned?

Yes

At times

No

Q5

Do you think our cleaning staff do their work efficiently?

Yes

Somewhat

No

Q6

Are you satisfied with the cleanliness of our hospital?

Extremely satisfied

Satisfied

Neither satisfied nor dissatisfied

Extremely satisfied

Dissatisfied

Q7

Do you think the food was provided to you on time?

Yes

No

Q8

Do you think the food was made in clean and hygienic environment?

Yes

Somewhat

No

Q9

Do you think the food provided to you was healthy?

Yes

Somewhat

No

Q10

Are you satisfied with the food given at our hospital?

Extremely satisfied

Satisfied

Neither satisfied nor dissatisfied

Extremely satisfied

Dissatisfied

Patient Satisfaction Template 5 -Form Fill

During your stay in our hospital, were you satisfied with the cleanliness of your room and hospital?

Do you think all the equipment’s available in our hospital are of good standards?

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

Was your room regularly cleaned?

Do you think our cleaning staff do their work efficiently?

Are you satisfied with the cleanliness of our hospital?

Do you think the food was provided to you on time?

Do you think the food was made in clean and hygienic environment?

Do you think the food provided to you was healthy?

Are you satisfied with the food given at our hospital?