Documenti di Didattica
Documenti di Professioni
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2.
3.
4.
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Spouse________________
Joint________________
Family ________________
Friends
2. No
213
4. Following are the factors influencing the selection of the hospital [Rate the factors as
per your preference on a scale of 1 to 5.
Factors
Least
Most
preferred
Preferred
guidance and
diagnosis .
The hospital has good ambience.
The hospital gives extra facilities like
canteen ,pharmacy store and phone is easily
available.
The hospital is located in nearby area.
The
hospital
has
excellent
Troma/
Emergency services.
The hospital is recommended by other
doctors.
The hospital provide facilities to patients
like rooms, stretchers ,wheelchair ,food.
The doctors of the hospital give accurate
and true information every time.
The hospital gives one click access facilities
(Laboratory for tests are available in
hospital) is being provided by the hospital.
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6. Based on your experience as a customer of private hospital , think about the kind of
Hospital that would deliver excellent quality of services. Please show the extent to which
you think that a Hospital should possess the features described . If you strongly agree
that Hospitals should possess please circle 5. If you strongly disagree that Hospitals
should possess the feature, then circle on 1 .If your views are not strong circle one of the
number in the middle.
Sr.
Strongly
Strongly
no
Disagree
Agree
1
1
Excellent
hospital
will
have
visually
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10
11
12
13
14
15
16
17
18
19
Excellent
216
21
22
23
7. Listed below are five features pertaining to hospitals and the service they offer. We
would like to know how important each of these features is to you when you evaluate the
service offered by a hospital. Please allocate a total of 100 points among the five features
according to how important each feature is to you - the more important a feature is to you,
the more points you should allocate to it. Please ensure that the points you allocate to the five
features add up to 100.
1.
2.
3.
_____ points
4.
_____ points
5.
_____ points
_____ points
_____ points
100
points
8. The following statements are related to your feelings about the hospital whose
services you have taken. Show the extent to which you think that the hospital has
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features described by each statement below. The scoring system is if you strongly agree
that hospitals should possess the feature please circle 5. If you strongly disagree that
Hospitals should possess the feature, then circle on 1 .If your views are not strong circle
any one between 2 to 4.
Sr.
Strongly
Strongly
no
Disagree
Agree
1
1
problems
8
10
11
12
13
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14
15
16
17
18
19
20
21
22
23
9. Following are the factors which shows your loyalty for the hospital which you have
selected [Rate the factors from highly satisfied 5 to highly dissatisfied.]
Sr.
Strongly
Strongly
no
Disagree
Agree
1
1
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Demographic Profile:
Sex
Male
Female
Marital Status
Married
Unmarried
31 yrs- 40 yrs
Age:
21 yrs- 30 yrs
41 yrs- 50 yrs
51 yrs- 60 yrs
61 and above
Educational qualification: H.S.C.
Post graduate
Graduate
Professional Degree
Agriculture
Govt. Employee
House Wife
Business
Pvt. Employee
Unemployed
Self-employed
Rs.100001-200001
Thank You
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