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Questionnaire Title of the study: Perception of people towards government hospital services in Bangladesh.

Section-1: Demographic information 1. Gender: a) Female b) Male,, 2. Occupation: a. Student of private university.. b. Student of public university c. Government service holder d. Non-government service holder e. Work on daily wage 3. Age: a) 18-30 years,, b) 31-40years c) 41-50years d) above 50 years 4. Income (Monthly): (1) Below 5000 (2) 5001-10000 (3) 10001-20000,, (4) 20001-30000

Section-2: Government hospital relevant information Important instruction: We will ask you several questions. Please provide your answer to those questions with respect to Government hospital services.

Your option will be recorded in a scale of 1-5. Meaning of each value is: 1=poor; 2=below average; 3=average;. 4=good; 5=excellent.

Please put a tick on your preference.

(2) Below avrg

Sl. No

Questions (1) Poor

( 3) Average

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.

Convenience of visiting to the hospital Location of hospital match your satisfaction Level of satisfaction from the services you receive Fees meet your expectation Waiting time for the doctors match your satisfaction Cleanliness of the environment of waiting room Cleanliness of the environment of the diagnostic room Degree of involvement of the doctors to narrate the illness Behavior of the nursing staff Number of rounds made by doctors Behavior of the ward boys Behavior of the ayahs Tendency of asking money for quick service delivery Tendency of asking tip after performing the service Tendency of the doctor to ask you to visit their private chamber Degree of involvement of the ward boy Degree of cooperation of the ayahs Degree of cooperation of the doctors in case of handling the patients Degree of availability of the doctors during their duty hours Degree of availability of the nurses Degree of seriousness of the doctors in case of emergency patients Cleanliness of the washroom Cleanliness in the cabins Cleanliness in the wards .. ,,, ,,,

,,, ,,,, ,,, ,,, ,,,, . . .. . ..

..

( 4) Good

(5) Excellent

Sl. No

Questions (2) Below avrg ( 3) Average (5) Excellent .. .. .. ..

25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37.

Healthy food provided by hospital Degree of involvement of the doctors during major operation Degree of involvement of the nurses during major operation Ease of communication with the nurses Availability of medicine Medicine supply in case of emergency Effective ambulance service management Availability of ambulance service Level of satisfaction towards ambulance service Reach of information through website Degree of information management system Level of cooperation from hospital information desk Degree of availability of emergency equipment(crutch, wheelchair,etc)

( 4) Good

(1) Poor

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