PATIENT SATISFACTION QUESTIONNAIR

How did you hear about our hospital?

If Others (Please specify)

Are you aware of your rights and responsibilities as a patient in this hospital?

Yes

No

How do you evaluate the response when you called the Dental Hospital by phone

Poor

Fair

Excellent

Not Applicable

Do you feel the time spent waiting to be seen was appropriate?

Yes

No

How do you rate the registration staff overall?

Poor

Fair

Excellent

If no is answer for your waiting time, Was the reason for delay clearly explained to you?

Yes

No

Which clinic did you attend today

Select an option

If Others (Please specify)

How do you rate your healthcare provider overall?

Yes

No

Are you satisfied with your healthcare provider’s hand hygiene?

Yes

No

Are you satisfied with the sterilization of the instruments and equipment used for the treatment?

Yes

No

Did you receive adequate information about your oral health status/condition?

Yes

No

Did you receive adequate information about your oral health status/condition?

Yes

No

Did you receive adequate information on oral hygiene maintenance (brushing, flossing, and professional cleaning)?

Yes

No

How do you rate the overall environment of UDHS in cleanliness and facilities?

Poor

Fair

Excellent

Would you recommend UDHS to others?

Yes

No

Additional Comments or Suggestions