Department of Public Administration

University of Dhaka
Survey on Peoples Satisfaction on Public Health Institutions
Name:
Age:
Gender:
Profession:
Home District:

1) Do you live in Dhaka city?

a) Yes
b) No

2) How many times have you visited the hospital for getting treatment?
a) Once
b) Twice
c) Thrice
d) more than 3 days
3) Which department do you visit for the treatment?

4) How much time do you wait for getting the service?

a) Half an hour

b) 1 hour

c) more than 1 hour

5) Do the doctors pay enough time for you to check-up?

a) Yes
b) No
6) How do the doctors behave with you?
a) Cordially
b) Moderately

c) Roughly

7) How do the nurses behave with you?

a) Cordially
b) Moderately

c) Roughly

8) How do the other staffs and employees of cash counter behave with you?

a) Cordially

b) Moderately

c) Roughly

9) Did you get admitted in the hospital?

a) Yes
b) No
If Yes
10) How many days did you stay in the hospital?
a) 2 days
b) 3 days
c) 4 days

d) more than 4 days

11) Do the doctors check-up the patients in the cabin regularly and timely?
a) Yes
b) No

12) Do the nurses observe and feed medicines the patients in the cabin timely?
a) Yes
b) No

13) Do the staffs clean the floor and wash clothes (Bed cover & Pillow cover) of the cabin
daily?
a) Yes
b) No

14) Does the hospital authority provide meal every day for the patient?
a) Yes
b) No

15) Are you satisfied with the environment of the cabin or hospital?
a) Yes
b) No

16) How are the overall services provided by the hospital authority?
a) Satisfactory
b) Moderate
c) Not satisfactory

17) What are your suggestions to hospital authority for improving their service quality?
b)
c)
d)

e)
f)