Questionnaire on Health Care Facilities

Health Care Facilities Feedback Questionnaire

Introduction: Thank you for taking the time to complete this survey. Your feedback is important in helping us improve our healthcare services. This questionnaire is designed to understand your experience with our healthcare facility, including the quality of care, staff interaction, and overall satisfaction.

1. Personal Information (Optional)

• Name: John Smith
• Age: 45
• Gender: Male
• Visit Purpose:
  • B) Emergency visit
• How often do you visit this healthcare facility?
  • B) Occasionally

2. Overall Experience (MCQs)

Q1: How satisfied are you with your overall experience at the healthcare facility?

• B) Satisfied

Q2: How would you rate the cleanliness and hygiene of the facility?

• A) Excellent

Q3: How easy was it to schedule your appointment?

• A) Very easy

3. Interaction with Staff (Likert Scale)

Q4: Please rate your agreement with the following statements:

• The doctors and nurses were attentive and caring.
  • Agree
• The staff explained medical procedures and treatment options clearly.
  • Strongly agree
• I felt respected and heard during my visit.
  • Agree

4. Wait Time and Accessibility

Q5: How would you rate the waiting time before receiving care?

• B) Reasonable

Q6: How accessible was the healthcare facility (location, parking, etc.)?

• A) Very accessible

5. Open-Ended Question

Q7: What did you like most about your experience at the healthcare facility?

• The staff was very kind, and the facility was very clean. I appreciated how quickly I was able to receive care in the emergency room.

Q8: What areas do you feel need improvement in this healthcare facility?

• The only improvement I’d suggest is to make the waiting room a bit more comfortable for patients during longer waits.

6. Overall Rating

Q9: On a scale of 1 to 10, how would you rate your overall experience with the healthcare facility?

• 8/10.