form - بیمارستان نیکان سپید

Skip to content

No results

home
DOCTORS
about us
Services
PATIENT GUIDE
Survey Form
CONTACT US
- contact us

Our patients are a member of nikan family

English

home
DOCTORS
about us
Services
PATIENT GUIDE
Survey Form
CONTACT US
- contact us

English

Persian
English
Arabic

Questionnaire of hospitalized patients and their companions
in Nikan Hospital

Dear patient, In the hope of good health, please plan your comments for more appropriate medical treatment and improve the conditions of the hospital after completing the following section. Specify your comments in the column beside the questions with the ümark. (This form of information is considered confidential and will not have any negative effect on the services provided to you).

Measuring the satisfaction of international hospitalized patients survey

Medical center/hospital: SEPID NIKAN

Have you ever been hospitalized in this hospital?

yes no

Gender:

Male famale

Department

Days

Education Level

Illiterate High school diploma Associate degree Academic Degree Etc

How to be hospitalized

Etc physician's recommendation company Academic Degree hospital website

Mode of admission:

Doctor's appointment order Emergency

Question

Security

1-Are you satisfied with the way the hospital guards treated you?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Information

2-Are you satisfied with the necessary guidance from the intelligence unit on arrival at the hospital?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

3-Are you satisfied with the signboards in different parts of the hospital?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Reception

4-Are you satisfied with the way IPD employees behave you?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

5-Are you satisfied with the waiting length from the time of filing the case to the transfer to the department?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Physician(s)

6-Are you satisfied with the way doctors treat you?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

7-Are you satisfied with the presence of doctors when needed?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

8-Are you satisfied with the training provided by the doctors (during the treatment and discharge)

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

9-Are you satisfied with the doctors' answers to your questions?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

10-Are you satisfied with drawing the curtain and respecting your privacy while performing medical procedures?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Nursing staff

11-Are you satisfied with the way nurses behave you?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

12-Are you satisfied with the response time of the nurses to the alarm bell?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

13-Are you satisfied with the training provided by the nurses (upon arrival, during treatment and discharge)?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

14-Are you satisfied with drawing the curtain and observing privacy while performing nursing activities?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Diagnostic services

15-If you need diagnostic methods such as radiology, ultrasound, CT scan, etc., are you satisfied with how it is done?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

16-Are you satisfied with the laboratory's diagnostic methods if you need them?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

17-Are you satisfied with the way the staff behaves in the diagnostic units?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

18-Are you satisfied with privacy when carrying out diagnostic measures?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Environment and services of the ward

19-Are you satisfied with the way the service staff behaves and treated you?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

20-How satisfied are you with the way you are transferred to the ward or the transfer between different wards of the hospital?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

21-Are you satisfied with the cleanliness of the ward?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

22-Are you satisfied with the quality and replacement of bedding, blankets and clothes?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

23-Are you satisfied with the amenities (TV, chair, water cooler, telephone, lighting, bed, telephone and prayer hall, cooling status, heating and rooms ventilation)?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

24-Are you satisfied with the quality of the food?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

25-Are you happy with the distribution time of food?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

26-Have you had surgery? Yes... No.. (If yes, answer the following questions.)

yes no

Operation room ward

27-Are you satistied with the way the surgery room personnel behave?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

28-Are you satisfied with the surgery at the appointed time?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

29-Are you satisfied with the necessary information before the surgery?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

30-Are you satisfied with the care after the surgery room?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

Hospital managerment

31-Are you satisfied with the performance of the hospital's IPD ward?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

32-Are you satisfied with the availability of prescribed drugs?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

33-Are you satisfied with the complaints and criticisms of the patients in this hospital?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

34-Are you satisfied with amenities such as buffet, internet, etc. in this hospital?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

35-Are you satisfied with amenities such as buffet, internet, etc. in this hospital?

Excellent😀 Good🙂 Suitable😕 Inappropriate😠

36-. In general, at what level do you evaluate your satisfaction with hospital services?

High medium low

37-Do you want to refer to this hospital again if you or one of your relatives need to be hospitalized?

yes no

If you wish to view profile, your contact number and e-mail address for next link.

Please, make suggestions and criticisms about improving the quality of hospital services

Thank you very much for taking the time to complete this questionnaire
Hospital management

Information of Nikan Sepid Hospital

Address: Nikan Sepid Hospital, Laleh St, Bahar Blvd, Shahid Babaei Hwy, Tehran
Dedicated phone number: +9802129125485
Email : IPD@sepidnikanhospital.com

Persian

Persian

English

Arabic