GNP Doctor Ghassan N. Pharaon Healthcare
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Outpatient Satisfaction Questionnaire
 
Our Dear Customers:
The goal of GNP Hospital is to provide you with the best possible medical care and make your visit as comfortable as possible. It is very important for us to know your honest opinion about our services, whether positive or negative.
 
I. DEMOGRAPHICS
 
1. Date:  
2. Gender
Male   Female
3. Check the main reasons for coming to this hospital:
Close to home            Friend’s recommendation
Self / relative works in the hospital Insurance / credit company
As emergency patient GNP is my regular hospital
Good medical referral / Best doctors Outside hospital referral
 
II. PARKING & OPENING HOURS
 
1. How easy was parking your car?
Very easy   Easy   Not easy
2. Describe the clinics’ opening hours?
Convenient   Not convenient
 
III. APPOINTMENT OFFICE, RECEPTION & CASHIER
 
1. Was scheduling your appointment easy?
Yes   No, Why?  
 
2. Was the receptionist friendly?
Yes   No
 
3. Did you wait long for him/her to attend to you?
Yes, for how long?     No
 
4. Was the cashier courteous?
Yes   No
 
5. Did you wait long for him/her to attend to you?
Yes, for how long?     No
 
 
IV. YOUR DOCTOR & YOUR NURSE…
 
1. Did you wait for your appointment with the Dr.?
Yes, for how long?     No
 
2. How courteous was your Dr.?
Very courteous   Courteous   Not courteous
 
3. How courteous was your nurse?
Very courteous   Courteous   Not courteous
 
4. How satisfied were you with:
a) The examination you received from your Dr.?  
b) Answers to your questions?  
c) The way your Dr. listens to your comments?  
 
5. Describe the information you received from your Dr. regarding:
a) Test results and procedures?  
b) Prescribed medicines?  
c) Ways to avoid illness and stay healthy?  
 
6. How sufficient was the amount of time you spent with your Dr.?
Sufficient   Not enough   Not at all
 
7. How easy is reaching your Dr.?
Very easy   Easy   Not easy
 
V. HOSPITAL SERVICES
 
1. How courteous were:
a) Radiology staff?  
b) Physical Therapy staff?  
c) Lab Staff?  
d) Pharmacy Staff?  
e) Emergency Room Staff?  
f) Approval Office Staff?  
 
2. Did you wait too long for:
a) Radiology tests?  
Yes     No   Not applicable
b) Physical Therapy?  
Yes     No   Not applicable
c) Lab tests?  
Yes     No   Not applicable
d) Dispensing of medicines?  
Yes     No   Not applicable
e) ER attendance?  
Yes     No   Not applicable
f) Approval for services?  
Yes     No   Not applicable
 
3. How organized was the Emergency Room?
Very organized   Courteous   Not courteous   Not applicable
 
4. Describe the information you received from pharmacy regarding prescribed medications?
Enough   Not enough   Not at all
 
 
VI. GENERAL
 
1. How well were you informed about the costs of your care?
Enough   Not enough   Not at all
 
2. How informative were the available educational materials?
Very informative   Informative   Not informative
 
3. How clean were the hospital areas?
Very clean   Clean   Not clean
 
4. How was the overall quality of care and service provided at GNP Hospital?
Excellent   Good   Poor
 
5. Would you recommend this hospital to others?
Yes   No
 
VII. COMMENTS
 
 
 
 
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