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Questionnaire on
Hospital Service
System!!
-By Himanshu
Questionnaire ?
• A set of predetermined questions for all
respondents that serves as a primary research
instrument in survey research.
• Used to collect factual information
• Consist of a form containing a series of
questions
TYPES OF QUESTIONNAIRE?
1.Open ended questionnaire
a) Respondent is free to express his views and the ideas.
b) Used in making intensive studies of the limited number of the cases.
c) Merely an issue is raised by such a questionnaire.
2. Close ended questionnaire
a) Responses are limited to the stated alternatives.
b) One of the alternatives is simply YES or NO.
c) Respondent cannot express his own judgment.
3. Combination questionnaire
a) Questions are both close and open ended.
b) Used in field of social research.
4. Pictorial questionnaire
a) Used very rarely.
b) Pictures are used to promote the interest in answering the questions.
Emergency Department Questionnaire, Data Analysis
and Findings:
Please tick the option which is relevant:
1) After arrival, how long did you wait for doctor to assess you?
(a) I did not have to wait to be assessed
(b) 1-15 minutes
(c) 16-30 minutes
2Did the doctors or the emergency department staff served you with the basic first aid
immediately?
(a) Yes
(b) No
3) While your were in emergency department, did the doctor kept your family and
friends well informed about your relative’s condition & treatment given to him
and consent taken from you regarding any treatment related decision or reports to
be carried out?
(a) Yes, definitely
(b) Yes to some extent
(c) No
4)While treatment whether you are asked you have any side effects or not?
(a)Yes
(b)No
5) How long did you wait for your tests (radiology and pathology
investigation) to be carried out after arrival in emergency department?
(a)10-15 minutes
(b)15-30 minutes
(c)More than 30 minutes
(d) N/A
6) After how many minutes did the exact problem was found out?
(a) 1-5 minutes
(b) 5-15 minutes
(c) 15-30 minutes
7) Were you informed about the delay/reason in carrying out radiology or
pathology reports in emergency department?
(a) Yes, definitely
(b) Yes to some extent
(c) No
8) Were the amenities and medicines are sufficient to treat the patient?
(a)Yes, definitely
(b)Yes to some extent
(c)No
9) Did the nursing staff inform you about the medicine and injection given in
emergency department?
(a)Yes, definitely
(b) Yes to some extent
(c) No
10) Did the "admission officer give proper information about room charges,
facilities of the hospital and "other general information about the hospital?
(a) Yes, definitely
(b) Yes to some extent
(c) No
11) Any suggestions to improve our services and to serve you better?
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
• THANK YOU

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Questionnaire

  • 2. Questionnaire ? • A set of predetermined questions for all respondents that serves as a primary research instrument in survey research. • Used to collect factual information • Consist of a form containing a series of questions
  • 3. TYPES OF QUESTIONNAIRE? 1.Open ended questionnaire a) Respondent is free to express his views and the ideas. b) Used in making intensive studies of the limited number of the cases. c) Merely an issue is raised by such a questionnaire. 2. Close ended questionnaire a) Responses are limited to the stated alternatives. b) One of the alternatives is simply YES or NO. c) Respondent cannot express his own judgment. 3. Combination questionnaire a) Questions are both close and open ended. b) Used in field of social research. 4. Pictorial questionnaire a) Used very rarely. b) Pictures are used to promote the interest in answering the questions.
  • 4. Emergency Department Questionnaire, Data Analysis and Findings: Please tick the option which is relevant: 1) After arrival, how long did you wait for doctor to assess you? (a) I did not have to wait to be assessed (b) 1-15 minutes (c) 16-30 minutes 2Did the doctors or the emergency department staff served you with the basic first aid immediately? (a) Yes (b) No 3) While your were in emergency department, did the doctor kept your family and friends well informed about your relative’s condition & treatment given to him and consent taken from you regarding any treatment related decision or reports to be carried out? (a) Yes, definitely (b) Yes to some extent (c) No
  • 5. 4)While treatment whether you are asked you have any side effects or not? (a)Yes (b)No 5) How long did you wait for your tests (radiology and pathology investigation) to be carried out after arrival in emergency department? (a)10-15 minutes (b)15-30 minutes (c)More than 30 minutes (d) N/A 6) After how many minutes did the exact problem was found out? (a) 1-5 minutes (b) 5-15 minutes (c) 15-30 minutes
  • 6. 7) Were you informed about the delay/reason in carrying out radiology or pathology reports in emergency department? (a) Yes, definitely (b) Yes to some extent (c) No 8) Were the amenities and medicines are sufficient to treat the patient? (a)Yes, definitely (b)Yes to some extent (c)No 9) Did the nursing staff inform you about the medicine and injection given in emergency department? (a)Yes, definitely (b) Yes to some extent (c) No
  • 7. 10) Did the "admission officer give proper information about room charges, facilities of the hospital and "other general information about the hospital? (a) Yes, definitely (b) Yes to some extent (c) No 11) Any suggestions to improve our services and to serve you better? ------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------