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Out Patient Survey
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Out Patient Survey
Out Patient Survey
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Out Patient Survey
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QBMC Out Patient Satisfaction Survey
This Questionnaire is about your most recent visit to the Out Patient Department.
We would appreciate your opinion about your experience during your visit in order to continually improve our service to our patients
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Was it easy to make an appointment?
Yes
No
Selectie wissen
Was your appointment changed to a later date by the hospital?
No
Yes, once
Yes, 2 or 3 times
Yes, 4 times or more
Selectie wissen
In the reception area, could other patients overhear what you talked about with the receptionist?
Yes, and I was not happy about it
Yes, but I did not mind
No, others could not overhear
Don't know / Can't say
Selectie wissen
Did you have to wait long to see the Doctor?
Yes
No
Selectie wissen
When you arrived at the Out Patient Department, how would you rate the courtesy of the receptionist?
Excellent
Very good
Good
Fair
Poor
Very poor
Selectie wissen
Did you have enough time to discuss your health or medical condition with the doctor?
Yes, definitely
Yes, to some extent
No
Selectie wissen
Did the doctor explain the reasons for any treatment or action in a way that you could understand?
Yes, completely
Yes, to some extent
No
Did not need an explanation
No treatment or action was needed
Selectie wissen
Did the Doctor listen to what you had to say?
Yes, definitely
Yes, to some extent
No
Selectie wissen
Who was the MAIN person, other than the doctor you saw? (check one only)
A nurse
A physiotherapist
An X-ray technician
Midwife
Anders:
Selectie wissen
Did you have confidence and trust in him/her?
Yes, definitely
Yes, to some extent
No
Selectie wissen
Were you given enough privacy when discussing your condition or treatment?
Yes, definitely
Yes, to some extent
No
Selectie wissen
Were you given enough privacy when examined or treated?
Yes, definitely
Yes, to some extent
No
Selectie wissen
Before you left the Out Patient Department, were you told what would happen next ( e.g. whether you needed another outpatient appointment, to see your GP etc.)?
Yes
No
Don't know / Can't remember
Selectie wissen
Was the main reason you went to the Out Patient Department dealt with to your satisfaction?
Yes, Completely
Yes, to some extent
No
Selectie wissen
In your opinion, how clean was the Out Patient Department?
Very clean
Fairly clean
Not very clean
Not at all clean
Cant say
Selectie wissen
How clean were the toilets at the Out patient Department?
Very clean
Fairly clean
Not very clean
Not at all clean
I did not use a toilet
Selectie wissen
Was liquid hand soap in a dispenser available in the toilets?
Yes
Yes, but they were empty
I did not see any hand soap
Selectie wissen
Overall, Did you feel like you were treated with respect and dignity while you were at the Out Patient Department?
Yes, All of the time
Yes, some of the time
No
Selectie wissen
Overall, how would you rate the care you received at the Out Patient Department?
Excellent
Very good
Good
Fair
Poor
Very poor
Selectie wissen
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