A STUDY ON PATIENT SATISFACTION WITH SPECIAL REFERENCE TO PRIVATE HOSPITAL AT TUTICORIN QUESTIONNAIRE

Respondents Profile: 1 .Name.. 2. Age (a) Below 30 3. Sex (a) Male 4. Marital Status: (a) Married (b) Un-married (b) Female (b) Between 30 50 (c) Above 50

5. Educational Qualification (a) UG (b) PG (c) Others

6. How long have you been visiting this hospital? (a) Less than 1 year (b) Less than 3 years (c) Less than 5 years

7. How do you come to know about this hospital? (a) Magazines (b) Friends (c) Relatives (d) Employee (e) Doctor

8. Are you provided with proper guidance at the time of admission? (a) Yes (b) No

9. Are you clear about the procedure of the Hospital? (a) Yes (b) No

10. State your opinion to the following statements S.NO 1 STATEMENT How respective is the receptionist during the admission? 2 What do you think about Saturday (or) Sunday appointment? 3 What is your opinion about the care on patients shown by the hospital? 4 How do you feel about your treatment procedure clearly explained to you? 5 How do you feel about the friendliness and courtesy of the Nurse? 6 How do you feel about the staffs willingness to help you? 7 How do you feel about the courtesy of security staff? 8 How respective are the doctors? How do you feel about the facilities 9 provided to spend the times in the waiting room? Excellent Good Fair Poor None

11. Rank the service offered by the Hospital? Services offered by the Hospital Nursing Medical Record Food and beverage Maintenance Operation Theatre Rank

12. State your opinion to the following statements S.NO 1 STATEMENT Is the Hospital providing complete awareness to the patients about the disease? What you feel about the satisfactory level of time spend waiting for your test result? How do you feel about the Hospital employees are punctual in their duty? How do you feel about the Hospitals Permission to allow any helper to stay with the patients? What is your satisfactory level about the Medical record of the patient retained in the Hospital? Give your satisfaction level regarding the maintenance of the Hospital? Highly Satisfied Neutral Dissatisfied Highly Satisfied Dissatisfied

13. Do you expect any changes (or) improvement in the services rendered by the Hospital? (a) Yes If yes please specify. 14. Does the Hospital pay attention to your complaint and take action? (a) Yes (b) No (b) No

15. Give your satisfactory level about the following facilities provided in this hospital? Facilities Laboratory Laundry Cleanliness Canteen Telephone Drinking Water Highly satisfied Satisfied Natural Dissatisfied Highly Dissatisfied