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Surveys
2014
March
O
Outpatient Survey
Outpatient Survey
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Dear Sir/Madam:
You are invited to participate in our survey of the services your recently received at 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, you may contact Patient Relations Officer at phone 06 706 1111 or by email at the email address specified below.
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:
How are we doing in the following areas?
Excellent
Very Good
Good
Fair
Poor
N/A
Doctor's care
Nursing care
Cleanliness and comfort
Reception services
Scheduling of appointments
Billing formalities
Laboratory, x-ray & pharmacy
Misc: Parking, waiting areas, finding your way around the hospital, etc.
Please assess the following statements about the services at Sheikh Khalifa General Hospital:
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Would you return to this hospital for your medical care?
Are all of the services you expect here at this hospital?
Would you recommend this hospital to your friends and family?
have you been provided with adequate information about your treatment?
How is our telephone answering system?
Call answered immediately and purpose served
Call picked up within 5 rings and answered immediately
Call picked up, then put on hold, and then answered
Call picked up, then put on hold without returning
Call not picked up, disconnected, or otherwise unanswered
Why did you choose Sheikh Khalifa General Hospital?
Proximity
Doctors
Medical Facility
Friendly Atmosphere
24-hour service
Recommendation
Other
Overall, are you satisfied with our Medical Services?
Excellent
Very Good
Good
Fair
Poor
Your valuable suggestions:
Thank you for helping us to serve you better.
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