Web survey tool with a survey template library. SurveyShare is the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards Out-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to create and deploy a web survey with questions from a customizable web survey template like this Medical survey template. CourseShare helps people generate, find, and share knowledge related to teaching and learning on the Web. Through CourseShare.com and the World Wide Web, 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 Internet marketplace.
Web survey tool with a survey template library. SurveyShare is the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards Out-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to create and deploy a web survey with questions from a customizable web survey template like this Medical survey template.

Hospital Services Out-Patient Web Survey:
This Medical Web survey is from SurveyShare's library of web survey templates. It is concerned with Out-Patient Hospital Services issues. These questions are intended for patients to answer. It is a patient survey of out-patient care includes questions about registration, cleanliness of facilities, and quality of care. SurveyShare has posted this resource to the Internet to help you with your survey project. You are welcome to use these ideas even if you do not use our web survey software. If you decide to try SurveyShare, you can customize this medical Internet survey template and put in on the Web for free. SurveyShare is easy to use and we will never share or sell your contact information to anybody. We do not send out spam to our members, and we never contact survey respondents.

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  Web survey tool with a survey template library. SurveyShare is the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards Out-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to create and deploy a web survey with questions from a customizable web survey template like this Medical survey template.   Web survey tool with a survey template library. SurveyShare is the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards Out-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to create and deploy a web survey with questions from a customizable web survey template like this Medical survey template.
   
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) The friendliness of the registration staff?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
3) The cleanliness of the waiting area?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
4) The comfort of the waiting area?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
5) The cleanliness of the hospital/exam room?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
6) The comfort of the hospital/exam room?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
Not Applicable
Please tell us how much you agree or disagree with each of the following statements.
7) The nursing staff was helpful and willing to answer my questions.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
8) My nurse fully explained procedures, tests, and/or treatments.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
9) My nurse fully explained the procedures to follow for my after-care at completion of my visit.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
10) My nurse was friendly and treated me with respect.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
11) My nurse checked on me regularly after my procedure.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
12) Overall, how satisfied are you with the quality of the nursing care you received as an out-patient at this hospital?
Very Dissatisfied
Somewhat Dissatisfied
Undecided
Somewhat Satisfied
Very Satisfied
13) How satisfied are you with the overall quality of the care you received as an out-patient at this hospital?
Very Dissatisfied
Somewhat Dissatisfied
Undecided
Somewhat Satisfied
Very Satisfied
14) Would you recommend this hospital to others?
15) Please tell us what, if anything, we can do to improve the services of this hospital.
 
  Web survey tool with a survey template library. SurveyShare is the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards Out-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to create and deploy a web survey with questions from a customizable web survey template like this Medical survey template.   Web survey tool with a survey template library. SurveyShare is the best Internet tool for building surveys for the web. Medical Web survey about Hospital Services geared towards Out-Patient issues. We also have many many other web survey templates in our web survey template collection. Use this free Internet survey service to create and deploy a web survey with questions from a customizable web survey template like this Medical survey template.
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