Hospital Services - Out Patient example
This is an example Hospital Services - Out Patient survey. This survey includes questions like:
- How satisfied were you with the ease of registration?
- How satisfied were you with the cleanliness and comfort of the waiting area?
- The cleanliness and comfort of the hospital room?
We hope this will help you create your own Hospital Services - Out Patient survey. We
have not tested the validitiy or reliability of this survey. However, you may
use this as a starting point to help your own survey instrument. Feel free to
change and edit any of our survey templates to help you get started.
Please tell us how satisfied or dissatisfied you were with each of the following.
1) How satisfied were you with the ease of registration?
2) How satisfied were you with the cleanliness and comfort of the waiting area?
3) The cleanliness and comfort of the hospital room?
4) The friendliness of the registration staff?
Please tell us how much you agree or disagree with each of the following statements.
5) The nursing staff was helpful and willing to answer my questions.
6) My nurse fully explained procedures, tests, and treatments.
7) My nurse fully explained the procedures to follow for my after-care at completion of my visit.
8) My nurse was friendly and treated me with respect.
9) My nurse checked on me regularly after my procedure.
10) Overall, how satisfied are you with the quality of the nursing care you received as an out-patient at this hospital?
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