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  1. Surveys
  2. 2014
  3. March
  4. I
  5. Inpatient Survey
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Questions marked with an * are required Exit Survey
 
 
Dear Sir/Madam:

You are invited to participate in a survey related to services we recently provided you at the Sheikh Khalifa General Hospital. All patients/patient families are requested to participate in this survey. It will take approximately 2 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this survey. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, please ask any of our healthcare professionals in the area or if you would feel more comfortable to contact our Patient Relations Officer you can do so at phone 06 706 1111 or by email at [email protected].

Thank you very much for your time and support. Please start with the survey by entering your name and phone number.
 
 
 
* Name and phone number:
   
 
 
Nurses Care
Always Usually Sometimes Never N/A
How often did nurses listen carefully to you?
How often did nurses explain things in a way you could understand?
How often was your pain well controlled
 
 
Doctors Care
Always Usually Sometimes Never N/A
How often did doctors listen carefully to you?
How often did doctors explain things in a way you could understand?
 
 
Responsiveness of hospital staff
Always Usually Sometimes Never N/A
How often did you get help as soon as you wanted after you pressed the call button?
 
 
Discharge Information
Always Usually Sometimes Never N/A
Did you get information in writing about what symptoms or health problems to look out for after you left the hospital?
 
 
Environment
Always Usually Sometimes Never N/A
How often your room and bathroom were kept clean?
How often was the area around your room quiet at night?
 
 
Dietary
Excellent Very Good Good Fair Poor N/A
How would you rate the temperature of your food?
How would you rate the variety of your food?
Overall, how do you rate the food service?
 
 
Communication about treatment
Excellent Very Good Good Fair Poor N/A
How do you rate the information received in the hospital about your treatment?
 
 
 
How do you rate the hospital overall
Poor
Fair
Good
Very Good
Excellent
 
 
Overall hospital rating
Strongly agree Agree Neutral Disagree Strongly disagree
Would you recommend the hospital to friends and family?
 
Thank you for helping us to serve you better.