Patient Satisfaction Form

Patient Satisfaction Survey
Gender

MaleFemale
Marial Status

SingleMarried
Date of Birth

AyGünYıl
Profession

Self-employedEmployeeUnemployedStudentRetiredOther
Education

Secondary school and lowerHigh SchoolCollegeGraduateDoctorateOther
Duration of your stay in Turkey

One WeekTwo WeeksThree WeeksOne MonthOther
Department of your healthcare specialist
Please read carefully the following judgements that you receive and the service your degree of participiation with a health care provider this conclusion by ticking (X) the most appropriate box according to the specified scale indicate.

1. The healthcare provider was neat and well organized.

	1	2	3

1 is Disagree, 3 is Agree

2. Thehealthcare provider was well located (easily found, central and/or with goodtransport links, parking was available and adequate).

	1	2	3

1 is Disagree, 3 is Agree

3. The health care institution provides a technologically advanced medical environment.

	1	2	3

1 is Disagree, 3 is Agree

4. The health care provider can compete with other countries in terms of medical expertise.

	1	2	3

1 is Disagree, 3 is Agree

5. The hospital employees were always kind and friendly.

	1	2	3

1 is Disagree, 3 is Agree

6. The service I received was in time as expected.

	1	2	3

1 is Disagree, 3 is Agree

7. The quality of the international patient unit was maintained throughout.

	1	2	3

1 is Disagree, 3 is Agree

8. The medical team performed and accurate diagnosis and treatment.

	1	2	3

1 is Disagree, 3 is Agree

9. Help desk and guidance services were good overall. The waiting lists are reasonable and the time spent in the waiting rooms is all right.

	1	2	3

1 is Disagree, 3 is Agree

10. I was informed about the hospital’s procedure concerning my complaint. (registration, waiting time, consultation, laboratory process, radiology, operation, etc. )

	1	2	3

1 is Disagree, 3 is Agree

11. I was accompanied by International Patient Unit during my hospital process.

	1	2	3

1 is Disagree, 3 is Agree

12. The healthcare provider informed me about my disease and had enough time for me. He/She was courteous and respectful.

	1	2	3

1 is Disagree, 3 is Agree

13. The hospital employee were always willing to satisfy my wishes as a guest.

	1	2	3

1 is Disagree, 3 is Agree

14. The hospital employee were attentive to the patient’s confidentiality and safety.

	1	2	3

1 is Disagree, 3 is Agree

15. The hospital employees didn’t hassle me to decide quickly.

	1	2	3

1 is Disagree, 3 is Agree

Should be Empty:

Patient Satisfaction Survey