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Dear Sir/Madam,

Thank you for trusting with your health. For over 30 years, we have been on a Journey of care for our patients. In our efforts for continuous improvement, we would like your esteemed feedback. Your voice is the source of inspiration for us.
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
How did you know Samitivij Hospital (can be more than 1 answer)
 
Friends
 
Television
 
Radio
 
Hospital website
 
Online media
 
Event/Seminar
 
Poster/Leaflet
 
Magazine
 
Newspaper
 
Billboard
 
 
 
Speed of admission process
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
Please rate the meal services as the following:
Appropriate food temperature
Quality of the food
Staff courtesy
 
 
Your care from nurse ( during this hospital stay)
Never Sometimes Usually Always
How often did nurses treat you with Courtesy and respect?.
How often did nurses Carefully listen to you?
How often did nurses explain things in a way you could understand?.
After you pressed the call button, how often did you get help as soon as you wanted it?.
Did a nurse visit every 2 hours?.
 
 
Your care from Doctor
Never Sometimes Usually Always
How often did doctors treat you with courtesy and respect?.
How often did doctors carefully listen to you?.
How often did doctors explain things in a way you could understand?.
 
 
How satisfied are you with the doctor as the following:
Never Sometimes Usually Always
How often did doctors treat you with courtesy and respect?.
How often did doctors carefully listen to you?.
How often did doctors explain things in a way you could understand?.