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Questionnaire For Exploring Patient Satisfaction With Nursing Care

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31 views6 pages

Questionnaire For Exploring Patient Satisfaction With Nursing Care

Uploaded by

adiikhan4u001
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Questionnaire for Exploring Patient Satisfaction with

Nursing Care
Instructions: Please answer the following questions based on your recent experience
with nursing care during your hospitalization. Your responses will remain confidential and
will be used solely for research purposes. For each question, please select the option
that best reflects your experience.

Section 1: Demographic Information


1. Age:

 Under 18

 18-30

 31-45

 46-60

 Over 60
2. Gender:

 Male

 Female

 Other
3. Educational Level:

 Illiterate

 Primary

 Secondary

 Tertiary

 Graduate
4. Length of Stay in Hospital:

 1-3 days

 4-7 days
 8-14 days

 More than 14 days


5. Previous Admissions:

 Yes

 No

Section 2: Satisfaction with Nursing Care


6. How would you rate the overall quality of nursing care you received?

 Very Poor

 Poor

 Average

 Good

 Excellent
7. How satisfied were you with the attentiveness of the nursing staff?

 Very Dissatisfied

 Dissatisfied

 Neutral

 Satisfied

 Very Satisfied
8. How would you rate the communication skills of the nursing staff?

 Very Poor

 Poor

 Average

 Good

 Excellent
9. Did the nursing staff listen to your concerns and questions?
 Never

 Rarely

 Sometimes

 Often

 Always
10. How would you rate the kindness and respect shown by the nursing staff?

 Very Poor

 Poor

 Average

 Good

 Excellent
11. How satisfied were you with the information provided by the nursing staff
regarding your treatment?

 Very Dissatisfied

 Dissatisfied

 Neutral

 Satisfied

 Very Satisfied
12. How would you rate the nursing staff's ability to respond quickly to your
needs?

 Very Poor

 Poor

 Average

 Good

 Excellent
13. How satisfied were you with the cleanliness and comfort of the nursing
environment?

 Very Dissatisfied

 Dissatisfied

 Neutral

 Satisfied

 Very Satisfied
14. How would you rate the overall coordination of care provided by the
nursing staff?

 Very Poor

 Poor

 Average

 Good

 Excellent
15. How satisfied were you with the emotional support provided by the
nursing staff?

 Very Dissatisfied

 Dissatisfied

 Neutral

 Satisfied

 Very Satisfied
16. How would you rate your overall satisfaction with the nursing care you
received during your stay?

 Very Dissatisfied

 Dissatisfied

 Neutral

 Satisfied
 Very Satisfied

Section 3: Overall Experience


17. How likely are you to recommend this hospital to family and friends
based on your nursing care experience?

 Very Unlikely

 Unlikely

 Neutral

 Likely

 Very Likely
18. Overall, how would you rate the quality of care you received during your
hospitalization?

 Very Poor

 Poor

 Average

 Good

 Excellent
19. How well did the nursing staff meet your expectations for care?

 Not at all

 Slightly

 Moderately

 Very well

 Extremely well
20. How would you rate the availability of nursing staff when you needed
assistance?

 Very Poor

 Poor
 Average

 Good

 Excellent
21. How satisfied were you with the discharge instructions provided by the
nursing staff?

 Very Dissatisfied

 Dissatisfied

 Neutral

 Satisfied

 Very Satisfied

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