Hospital Survey Template

Age category

Gender

Do your family members pressurize you to take quick action on getting your health problems checked?

Is there a major difference in the workings and performance of different hospitals within your vicinity?

Is there a substantial amount of cost difference between the different hospitals available near you?

Is there a hospital in your vicinity that you prefer the most?

If Yes then please provide the name of the hospital below:


Do you usually visit the same hospital every time?

How satisfied are you with the level of skills and competency that the staff possess at your preferred hospital?

What are your views on the overall cleanliness of the hospital?

How satisfied are you with the helpful and friendly nature of the staff?

Are you happy with the performance of the hospital according to the costs that incur?

How do you decide on the hospital when you or someone from your family gets sick?

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