Satisfaction Questionnaire – Providența Hospital

In order to evaluate the medical care you received at Providența Hospital Iași and to help improve its quality, we kindly ask you to take a few moments to answer the questions in the questionnaire below.

The questionnaire is anonymous. We assure you that your answers will remain confidential. The information obtained will not be associated with you. Please be honest and choose the option that best describes your situation.

Demographic Data
Gender
Type of Residence Area
Highest Level of Education Completed
1. At admission, you were accompanied into the ward by
2. When you first entered this facility, what was your impression? Please choose three words that best describe the situation.
3. Did the situation in the admission unit, which you just described, affect your mood? (Please select only one option)
4. How did you come to request admission to our hospital? (Please select one of the response options)
5. Is this your first admission or a readmission?
6. During this admission, you can say that
1. Were you received with kindness from the beginning?
2. Did you take a bath upon admission?
3. Were you informed about and did you sign the INFORMED CONSENT FOR HOSPITALIZED PATIENTS?
4. Did you receive a copy of the PATIENT’S GUIDE?
5. Were you informed in a way you could understand about your rights as a patient?
6. Were you informed about the diagnosis, treatment, and the regimen prescribed by the doctor?
7. If you had to move between different departments/wards within the hospital, did you receive medical support?
8. Did you experience any post-operative or post-treatment complications?
9. Were the medication ampoules opened in front of you?
10. Did you notice any form of conditioning or restriction related to the care you needed?
11. In order to receive more attention from the staff, did you feel the need to reward a medical professional?
7. Were you instructed on how you were supposed to take the oral medications?
8. Was the administration of oral medications done under the nurses supervision?
9. Medications administered in the hospital
10. Please rate, on a scale from 1 to 3, the quality of the services listed below that you have received.
Communication with other patients
Attitude and communication with the staff at admission.
Attitude and communication with the staff during your stay in the facility.
Care provided by the doctor.
Waiting time until the first examination by a doctor in the ward where you were admitted?
Care provided by the nurses.
Treatment received during hospitalization.
Care provided by the nursing assistants
Post-operative care and ICU (Intensive Care Unit).
The quality of the meals served and their distribution.
The quality of the bedding.
The quality of accommodation conditions – ward (equipment, facilities).
The quality of cleanliness in the sanitary facilities (bathrooms and toilets).
The quality of cleanliness in the hospital.
1 - Foarte bună | 2 - Satisfăcătoare | 3 - Nesatisfăcătoare
 
11. To what extent are the following statements about the doctor who treated you true?
They answered the questions I asked.
They handled my case with care.
They understood my medical problems.
They showed interest in solving my medical issue.
12. To what extent are the following statements about the nurses who treated you true?
They gave me the respect and attention due to a patient.
They answered the questions I asked.
They respected the schedule for administering the treatment recommended by the doctor.
They understood my medical problems.
They showed interest in my treatment.
13. Discharge documents

At the time of discharge paperwork, were you informed about the amount spent for your hospitalization by being given a copy of the expense report?

14. How satisfied are you / were you?
15. If you were to need a medical service available in this facility, would you return to Providența Hospital?
16. Recommendation

If a relative, a friend, or another person needed a medical service that you know is available here, would you recommend them to come?

18. Do you feel that your rights as a patient were respected?