---
title: "Satisfaction"
description: ""
url: https://iranian-hospital.com/en/satisfaction/
markdown_url: https://iranian-hospital.com/en/satisfaction.md
lang: en
type: page_builder
published: 2023-12-19
updated: 2024-12-30
---

![](https://iranian-hospital.com/en/wp-content/uploads/2023/12/تاریخچه-بیمارستان-ایرانیان.svg)

## Satisfaction

 

 

 

 

 

 

  [Home](https://iranian-hospital.com/en/)  News and Articles

 

 

 

 

 

  ## Patient / Companion Satisfaction Survey Form for Inpatient Ward

We kindly ask you to share your feedback to help us improve the quality of hospital services. We sincerely appreciate the time you dedicate to completing this form. 

 

 

 

Name and surname of the form filler (Optional)

Contact number (Optional)

Completed byPatient's companionPatient

GenderMaleFemaleOther

AgeUnder 20 years20 to 40 years40 to 65 yearsAbove 65 years

EducationBelow diploma.Diploma to Bachelor's degreeMaster's degreeDoctorate and higher

Number of hospitalizationsFirst time2 to 4 timesMore than 5 times

    Questions

  Answer

    Are you satisfied with the behavior and responsiveness of the reception supervisor?

  YesSomewhatNoNo opinion

    Are you satisfied with the interaction and response of the security staff?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the reception and cashier staff (regarding contracted insurance, medical expenses, etc.)?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the laboratory staff?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the emergency staff?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the emergency doctor?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the speed and ease of the inpatient admission process?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the quantity and quality of the hospital meals?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction of the hospital cafeteria staff?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the general cleanliness (room cleanliness, restroom, and public areas)?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the facilities provided for personal hygiene (hygiene kit, bedding, clothing, etc.)?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the department service staff?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the psychology staff?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the treating doctor?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the nursing staff in the department?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the training provided in the department upon arrival, during hospitalization, and at discharge?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the interaction and response of the department's receptionist?

  YesTo some extentNoI don't have an opinion

    Are you satisfied with the speed and ease of the patient discharge process?

  YesTo some extentNoI don't have an opinion

    Are you overall satisfied with this hospital?

  YesTo some extentNoI don't have an opinion

    Would you recommend this hospital to your friends and acquaintances?

  YesTo some extentNoI don't have an opinion

    

   

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