Шаблон опроса об услугах здравоохранения для женщин

В шаблоне опроса об услугах здравоохранения для женщин предложены вопросы о предпочтениях в отношении врача, об оценке врача, а также об оценке предложения услуг. Этот образец можно отредактировать в зависимости от того, насколько подробную информацию вы хотите собрать об услугах здравоохранения для женщин. Примеры вопросов из этой анкеты: «Есть ли у Вас персональный частный врач в настоящее время?», «Где работает Ваш персональный врач?», «В большинстве случаев Вы обращаетесь к одному и тому же врачу, когда у Вас возникает потребность в персональном медицинском обслуживании?» и др.

Шаблон опроса об услугах здравоохранения для женщин

Related templates and questionnaires

Шаблон опроса о медицинских обследованиях

Шаблон опроса мнений о здравоохранении

Шаблон опроса для врачей

QuestionPro in your language


Russian (Русский) translation missing for : We are conducting a survey regarding some issues about Women's health care. The survey takes approximately 20 minutes. Russian (Русский) translation missing for : Do you personally have a private physician? Do you personally have a private physician? Russian (Русский) translation missing for : Yes Russian (Русский) translation missing for : No Russian (Русский) translation missing for : Don't know Russian (Русский) translation missing for : What kind of physician is he/she? What kind of physician is he/she? Russian (Русский) translation missing for : Pediatrician Russian (Русский) translation missing for : OB/GYN Russian (Русский) translation missing for : Family/General Practice Russian (Русский) translation missing for : Internist Russian (Русский) translation missing for : Other Russian (Русский) translation missing for : Where is your personal physician located? Where is your personal physician located? Russian (Русский) translation missing for : Area 1 Russian (Русский) translation missing for : Area 2 Russian (Русский) translation missing for : Area 3 Russian (Русский) translation missing for : Area 4 Russian (Русский) translation missing for : Area 5 Russian (Русский) translation missing for : Area 6 Russian (Русский) translation missing for : Area 7 Russian (Русский) translation missing for : Do you use the same physican for most of your personal medical needs? Do you use the same physican for most of your personal medical needs? Russian (Русский) translation missing for : Yes Russian (Русский) translation missing for : No Russian (Русский) translation missing for : How likely are you to switch hospitals on your physicians advice (from your preferred hospital)? How likely are you to switch hospitals on your physicians advice (from your preferred hospital)? Russian (Русский) translation missing for : Very likely Russian (Русский) translation missing for : Somewhat likely Russian (Русский) translation missing for : Somewhat unlikely Russian (Русский) translation missing for : Very unlikely Russian (Русский) translation missing for : Not sure Russian (Русский) translation missing for : Hypothetically, if you need to be hospitalized, would you choose your physician or your hospital first? Hypothetically, if you need to be hospitalized, would you choose your physician or your hospital first? Russian (Русский) translation missing for : Physician Russian (Русский) translation missing for : Hospital Russian (Русский) translation missing for : Not sure Russian (Русский) translation missing for : Depends Russian (Русский) translation missing for : Age category: Age category: Russian (Русский) translation missing for : < 18 Russian (Русский) translation missing for : 18 - 30 Russian (Русский) translation missing for : 31 - 44 Russian (Русский) translation missing for : 45 - 54 Russian (Русский) translation missing for : 55 & over Russian (Русский) translation missing for : Have you been hospitalized for OB/Maternity? Have you been hospitalized for OB/Maternity? Russian (Русский) translation missing for : Yes Russian (Русский) translation missing for : No Russian (Русский) translation missing for : When were you last hospitalized for OB/Maternity? When were you last hospitalized for OB/Maternity? Russian (Русский) translation missing for : In the past year Russian (Русский) translation missing for : 1-5 years ago Russian (Русский) translation missing for : Over 5 years ago Russian (Русский) translation missing for : Where were you last hospitalized for OB/Maternity care? Where were you last hospitalized for OB/Maternity care? Russian (Русский) translation missing for : Hospital 1 Russian (Русский) translation missing for : Hospital 2 Russian (Русский) translation missing for : Hospital 3 Russian (Русский) translation missing for : Hospital 4 Russian (Русский) translation missing for : Hospital 5 Russian (Русский) translation missing for : Have you ever been hospitalized for anything other than OB/Maternity? Have you ever been hospitalized for anything other than OB/Maternity? Russian (Русский) translation missing for : Yes Russian (Русский) translation missing for : No Russian (Русский) translation missing for : If yes: When were you last hospitalized for non-OB care? If yes: When were you last hospitalized for non-OB care? Russian (Русский) translation missing for : During past year Russian (Русский) translation missing for : 1-5 years ago Russian (Русский) translation missing for : Over 5 years ago Russian (Русский) translation missing for : Where were you last hospitalized for non-OB care? Where were you last hospitalized for non-OB care? Russian (Русский) translation missing for : Hospital 1 Russian (Русский) translation missing for : Hospital 2 Russian (Русский) translation missing for : Hospital 3 Russian (Русский) translation missing for : Hospital 4 Russian (Русский) translation missing for : Hospital 5 Russian (Русский) translation missing for : Are you employed outside the home? Are you employed outside the home? Russian (Русский) translation missing for : Full time Russian (Русский) translation missing for : Part time Russian (Русский) translation missing for : Not employed Russian (Русский) translation missing for : Other Russian (Русский) translation missing for : If employed outside the home; what is your approximate income? If employed outside the home; what is your approximate income? Russian (Русский) translation missing for : Less than $20,000 Russian (Русский) translation missing for : $20,000 - $40,000 Russian (Русский) translation missing for : $40,001 - $60,000 Russian (Русский) translation missing for : Over $60,000 Russian (Русский) translation missing for : What is your approximate annual household income: What is your approximate annual household income: Russian (Русский) translation missing for : Less than $30,000 Russian (Русский) translation missing for : $30,000-$50,000 Russian (Русский) translation missing for : $50,001-$70,000 Russian (Русский) translation missing for : Over $70,000 Russian (Русский) translation missing for : Not sure Russian (Русский) translation missing for : Zip code: Russian (Русский) translation missing for : Which type of medical insurance do you have? Which type of medical insurance do you have? Russian (Русский) translation missing for : Self pay (no insurance) Russian (Русский) translation missing for : Medicare/Medicaid Russian (Русский) translation missing for : Third party (insurance company) Russian (Русский) translation missing for : All HMO or PPO Russian (Русский) translation missing for : Other Russian (Русский) translation missing for : Area: Area: Russian (Русский) translation missing for : Area 1 Russian (Русский) translation missing for : Area 2 Russian (Русский) translation missing for : Area 3 Russian (Русский) translation missing for : Area 4 Russian (Русский) translation missing for : Area 5 Russian (Русский) translation missing for : Area 6 Russian (Русский) translation missing for : Area 7 Russian (Русский) translation missing for : Marital Status: Marital Status: Russian (Русский) translation missing for : Married Russian (Русский) translation missing for : Single Russian (Русский) translation missing for : Divorced Russian (Русский) translation missing for : Widowed Russian (Русский) translation missing for : Refuse to answer Russian (Русский) translation missing for : Number of children delivered: Number of children delivered: Russian (Русский) translation missing for : None Russian (Русский) translation missing for : 1-2 Russian (Русский) translation missing for : 3-5 Russian (Русский) translation missing for : Over 5 Russian (Русский) translation missing for : Thank you.