Questions for web surveys provided by the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards In-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to build and deploy a web survey with questions from a customizable web survey template like this one. CourseShare helps people generate, find, and share knowledge related to teaching and learning on the Web. Through CourseShare.com, higher education institutions, corporations, instructors, and students can find support for the global sharing of course information and Internet evaluation, free access to 21st century teaching and learning techniques, and Web tools for assessing how well they are performing in this online marketplace.
Questions for web surveys provided by the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards In-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to build and deploy a web survey with questions from a customizable web survey template like this one.

Web Survey about In-Patient Hospital Services:
This example of a Web survey was taken from SurveyShare's library of web surveys. This web survey is concerned with In-Patient Hospital Services issues. These questions are intended for patients to answer. It is a patient survey of in-patient hospital care that includes items about registration, nursing staff, and doctor care. If you want to customize this medical Internet survey template and put in on the Web, just sign up for the SurveyShare Web survey tool. You can get started for free and create a professional web survey of your own.

  Questions for web surveys provided by the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards In-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to build and deploy a web survey with questions from a customizable web survey template like this one.   Questions for web surveys provided by the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards In-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to build and deploy a web survey with questions from a customizable web survey template like this one.
   

Registration
Please tell us how satisfied or dissatisfied you were with each of the following.
1) How satisfied were you with the ease of registration?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
2) How satisfied were you with the explanations you received regarding billing procedures?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
3) How satisfied were you with the amount of time it took to complete the registration process?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
Please tell us how much you agree or disagree with each of the following statements.
4) The registration representative was friendly and respectful.
5) The registration representative fully answered all my questions.

Nursing Staff
Please tell us how satisfied or dissatisfied you were with each of the following.
6) How satisfied were you with the friendliness of the nursing staff?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
7) How satisfied were you with the professionalism of the nursing staff?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
8) How satisfied were you with the frequency with which the nurses checked on you while you were an in-patient in this hospital?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
Please tell us how much you agree or disagree with each of the following statements.
9) My nurse fully answered my questions about my treatment.
10) My nurse fully explained the procedures for my release from the hospital.
11) My nurse was knowledgeable about my treatment.

Doctor Care
12) How would you rate the quality of the care you received from your doctor while you were an in-patient in this hospital?
Excellent
Good
Fair
Poor
Undecided
13) How satisfied were you with the frequency of visits our received from your doctor while you were an in-patient in this hospital?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
Please tell us how much you agree or disagree with each of the following statements.
14) My doctor fully explained the procedures of my treatment.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
15) My doctor fully answered all my questions.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
16) My doctor provided me with high quality care.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree

Other
17) How satisfied were you with the visitor policy at the hospital?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
18) How satisfied were you with your menu choices?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
19) How satisfied were you with the television equipment and programming in your room?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
20) How satisfied were you with the quality of the food?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
21) Overall, how satisfied were you with the quality of the care you received while an in-patient at this hospital?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
22) Would you recommend this hospital to others?
Yes
No
Undecided
23) Please tall us what, if anything, we can do to improve our services,
 
  Questions for web surveys provided by the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards In-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to build and deploy a web survey with questions from a customizable web survey template like this one.   Questions for web surveys provided by the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards In-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to build and deploy a web survey with questions from a customizable web survey template like this one.
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