GENERAL HOSPITAL IKORODU

Staff Attitude?	1	2	3	4	5

Doctor's Care?	1	2	3	4	5

Explanation about your medical condition?	1	2	3	4	5

Bedside care from nurses?	1	2	3	4	5

Weekend Staff?	1	2	3	4	5

Your answer:

Your answer:

Yes

No

Yes

No

Commment:

Department Visited

Date of facility visit:

Phone / Mobile Number:

Age:

Sex:

Male Female

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Medication?	1	2	3	4	5

Cost of care?	1	2	3	4	5

Mode of payment?	1	2	3	4	5

Type of service offered?	1	2	3	4	5

Cleanliness of the hospital environment?	1	2	3	4	5

Cleanliness of the ward and surrounding environment?	1	2	3	4	5

Comfortability of the ward?	1	2	3	4	5

Availability of drugs?	1	2	3	4	5

Timeliness of services?	1	2	3	4	5

Complaint Mechanism?	1	2	3	4	5

Safety and Security at the hospital?	1	2	3	4	5

PATIENT SATISFACTORY SURVEY