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Have you ever been admitted to Dr. S. Serhal Hospital?
*
Yes
No
You have been admitted through the:
*
Emergency Department
Admissions office
Reception and admission by the emergency department
Quality of reception at the Emergency department
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Waiting time
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Quality of care
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Reception and admission by the admissions office
Quality of greeting and staff communication at the administration (administrative assistants – admission officers – telephone operators)
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
At the ward
In which ward were you hospitalized?
Quality of greeting and communication of nursing staff at the ward
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Quality of medical care
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Nursing team care during the day
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Nursing team care during the night
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Pain Management
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Performance of the physiotherapist
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Quality of care at the radiology department
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Quality of care in the Operating room
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Respect to privacy / dignity
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Explanations and information given during hospitalization
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Education given prior to discharge
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Hospitality
Room comfort
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Taste and quality of meals
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Variety and dish presentation
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Linen cleanliness
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Room cleanliness
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Cleaning agents’ performance
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Calmness of the ward during Daytime
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Calmness of the ward during Night-time
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Visiting hours
Very Satisfying
Satisfying
Not Satisfying
Not Satisfying at all
Not Concerned
Overall, how do you assess your hospital stay?
*
Excellent
Good
Acceptable
Bad
Would you recommend the hospital to your relatives?
*
Yes
No
Do you have any other comments or suggestions to make?
Do you agree to be contacted by our quality department for further inquiries of your remarks?
*
Yes
No
If Yes, please specify your name and phone number
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