Generate questionnaires for Hospital facilities
Creating a questionnaire for evaluating hospital facilities involves gathering information from patients, caregivers, and staff regarding various aspects of the hospital environment and services. Below are sample questionnaires tailored for patients and staff.
### Patient Experience Questionnaire
**Demographic Information**
1. Age:
2. Gender:
3. Type of service you received (e.g., outpatient, inpatient, emergency):
4. Date of visit:
**Facility Environment**
5. How would you rate the cleanliness of the hospital?
- Excellent
- Good
- Fair
- Poor
6. How comfortable was your room (if applicable)?
- Very comfortable
- Comfortable
- Neutral
- Uncomfortable
**Accessibility and Navigation**
7. How easy was it to find your way around the hospital?
- Very easy
- Easy
- Neutral
- Difficult
- Very difficult
8. Was the signage clear and helpful?
- Yes
- No
**Staff Interactions**
9. How would you rate the friendliness of the staff?
- Excellent
- Good
- Fair
- Poor
10. Did you feel that the staff listened to your concerns?
- Yes
- No
**Services Provided**
11. How satisfied were you with the medical care you received?
- Very satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very dissatisfied
12. Were your pain management needs addressed effectively?
- Yes
- No
**Food and Nutrition**
13. How would you rate the hospital food quality?
- Excellent
- Good
- Fair
- Poor
14. Were dietary needs (if any) met during your stay?
- Yes
- No
**Overall Experience**
15. Overall, how would you rate your experience at the hospital?
- Excellent
- Good
- Fair
- Poor
16. Would you recommend this hospital to others?
- Yes
- No
**Additional Comments**
17. Please share any additional comments or suggestions for improvement:
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### Staff Facility Evaluation Questionnaire
**Demographic Information**
1. Position/Job Title:
2. Department:
3. Years of service in the hospital:
**Facility Environment**
4. How would you rate the cleanliness of your work environment?
- Excellent
- Good
- Fair
- Poor
5. Are the facilities (e.g., bathrooms, break rooms) adequately maintained?
- Yes
- No
**Equipment and Resources**
6. Do you have access to the necessary equipment to perform your job effectively?
- Yes
- No
7. How would you rate the quality of the medical equipment available?
- Excellent
- Good
- Fair
- Poor
**Staff Support and Collaboration**
8. How well do departments collaborate to provide patient care?
- Excellent
- Good
- Fair
- Poor
9. Do you feel supported by your supervisors in your role?
- Yes
- No
**Training and Development**
10. Are there adequate training opportunities provided for staff?
- Yes
- No
11. How satisfied are you with the professional development options available?
- Very satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very dissatisfied
**Workplace Safety**
12. How safe do you feel while working in the facility?
- Very safe
- Safe
- Neutral
- Unsafe
- Very unsafe
13. Are there adequate measures in place to handle emergency situations?
- Yes
- No
**Overall Job Satisfaction**
14. How would you rate your overall job satisfaction at this hospital?
- Excellent
- Good
- Fair
- Poor
15. Would you recommend this hospital as a place to work?
- Yes
- No
**Additional Comments**
16. Please provide any additional comments or suggestions for improvement:
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These questionnaires can be customized further based on specific hospital policies, feedback goals, and service areas. It's essential to inform respondents that their feedback is confidential to encourage honest and constructive responses.