To gauge the level of satisfaction regarding the quality of inpatient service in Taichung Armed Forces General Hospital.
Dear ladies and gentlemen,
How are you? In order to help us to raise the quality of our inpatient service and to construct a better medical service environment, we sincerely ask you to spend a few minutes to fill in this survey. Your valued opinions will guide us in improving our service. Thank you for your corporation and support. We wish you health and happiness.
ONE. Health background, please check the appropriate answer
transferred to inpatient division after outpatient checkup transferred to inpatient division after emergency care transferred from another hospital other
How long did you have to wait after you presented the inpatient permit to the inpatient division ?
TWO. Personal data
patientfriend or relativemilitary person on active duty other
malefemale
Age:
collegehigh schoolmiddle schoolqelementary school illiterate (This is insensitive. Suggest you say: Difficulty with reading and writing)
THREE. This portion is designed to investigate your level of satisfaction with various categories of our medical care services,please check the appropriate answerer
One. Hospital environment and facilities (level of satisfaction)
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
Personal privacy can be maintained:very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
Other (please describe)
Two. Waiting time (level of satisfaction)
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
Other (please describe):
Three. Service attitude of our staff (level of satisfaction)
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
Other (please describe):
Four. Medical care process (level of satisfaction)
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
Other (please describe):
Five. Results of service (level of satisfaction)
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
very satisfiedsatisfiedacceptabledissatisfied very dissatisfied
Other (please describe):
Six. Other issues
come back to usgo to other hospitalnot sureothers (please describe)
yesnonot sureother (enter other description)
What area in our inpatient service do you think needs most improvement ?