Chapter 1

INTRODUCTION

“True healthcare facility must not only aid in the physical health needs of its patients, it should

also able to aid the emotional, social, spiritual and environmental health needs of its

patients.”

Philippines is among of the top countries with the highest population rate. Philippines

ranked as the 12th most populous country in the world, contributing 1.35% of the total world

population, based on US Census Bureau. To be more aware, Philippines also belongs to the

third world countries which means that compared to other countries, our country’s

development is slower. There are no enough services and resources to satisfy the increasing

needs of the people, particularly those that lives in the rural and sub-urban areas.

According to the World Health Organization, among the top causes of mortality in the

world are heart and respiratory related diseases. In relation to the statistics of Department of

Health (DOH) of the Philippines in 2016, the said data verified to be true. Heart and lung

related diseases contributing to mostly one-third (38%) of all deaths in Philippines.

According to studies, tobacco usage continues to be the major cause of health problems

worldwide. Currently, there is an estimated 1.3 billion smokers in the world, wherein there are

average 4.9 million recorded deaths in a year because of tobacco usage. If this lifestyle never

stops, it is projected that recorded deaths will elevate to an average of 10 million by year 2020,

wherein 70% of it will be coming from countries like Philippines.

1.1 Statement of the Problem

The primary purpose of this study is to determine how to design an effective

Cardiopulmonary Hospital focusing on the spatial needs and effect of colors to the users.

More specifically, it attempts to answer the following questions:

● What are the present condition of cardiopulmonary-related diseases in the Philippines?

● What are the general design considerations in designing a healthcare facility?

● What are the theories and principles applicable in hospital design?

● How colors affect the healthcare environment?

● What are the spatial requirements in hospital design?

1.3 Assumptions

The study regarding the design of the cardiopulmonary hospital in terms of spaces is

necessary for the development healthcare facilities’ architectural design in the Philippines.

Statistics from Department of Health shows that cardiopulmonary related diseases are the top

causes of mortality in the Philippines. With this study, both public and private health

organizations who are planning to construct a hospital for cardiopulmonary related diseases,

can have a good information on the spatial needs of a cardiopulmonary hospital in terms of

Filipino culture and lifestyle.

1.4 Theoretical Framework

1.5 Importance of The Study

The significance of this study is to help in the development of healthcare facilities’

architectural design in the Philippines. This study will be beneficial to individuals and

organizations related in the field of health and architecture. It will help both government and

private health organizations such as Department of Health in building cardiopulmonary-

related healthcare facilities with better and effective architectural design. It will help architects

particularly those specializing in hospital design acquire new information to enhance their

design in the said subject. Lastly, it will help me as an architecture student pass the research

subject and gain confidence in producing such helpful and interesting material.

1.6 Objective

The main objective of this study is to determine the correct design and planning of a

cardiopulmonary hospital, in terms of the general considerations in hospital design, spatial

requirements and colors.

1.7 Limitation

The proponent will analyze the medical condition of some hospitals in Metro Manila to

justify the need of cardiopulmonary specialized hospital in the Philippines. He will also gather

necessary information for designing this specialized medical facility.

The proponent is expected to make a design solution considering all the information

gathered in this research. The design will only focus on its architectural scope. It will not cover

structural, electrical, mechanical, and other designs that are beyond the control of the

proponent.

1.8 Definition of Terms

• Cardiopulmonary - Of, relating to, or involving both the heart and the lungs. (The

American Heritage® Medical Dictionary)

• DOH – shall mean Department of Health

• General Hospital – provides services for all kinds of illnesses, diseases, injuries or

deformities

• Morbidity rate – The proportion of patients with a disease during a given year per

given unit of population. (The American Heritage® Medical Dictionary)

• Mortality rate – also refers to death rate; an expression of the number of deaths in a

population at risk for one year. (Dorland's Medical Dictionary for Health Consumers)

• Specialty Hospital – provides services for one kind of illness/disease or medical care

need.

• WHO – shall mean World Health Organization

• LMIC – Low and Middle-Income Countries

 Chapter 2

REVIEW OF RELATED LITERATURE

2.1 Healthcare Condition

According to World Health Organizations (2014), 67% of the total deaths in the

Philippines is caused by noncommunicable diseases (NCD), wherein mostly 38% of these are

composed of heart and lung related diseases. Unhealthy lifestyle, particularly tobacco usage,

alcohol drinking, unhealthy diet and lack of physical activity is said to be the major risk factors

of the said NCD’s.

Figure 1: World Health Organization - Noncommunicable Diseases (NCD) Country Profiles,

(2014).
 According to Global Adult Tobacco Survey: Executive Summary (2015), tobacco usage

remains to be the major cause of deaths and diseases worldwide. Almost 6 million people die

every year because of tobacco-related diseases. The number of deaths is expected to increase

to more than 8 million by the year 2030 if the condition left untreated.

The morbidity and mortality rate of cardiovascular-related diseases greatly increases over

the last few years, especially among the low and middle-income countries (LMIC’s), including

the Philippines (Uthman, O.A., et. Al., 2015). Globally, approximately 80% of the total deaths

of cardiovascular-related diseases came from LMIC’s. Factors such as greater tobacco usage

of people in LMIC’s and not having an equal and accessible healthcare services are the major

causes of cardiovascular-related diseases in LMIC’s.

In the Philippines, the Global Adult Tobacco Survey (2015) shows that 23.8% of total

adults in the country uses tobacco, disregarding the method of usage, wherein 41.9% are men

and 5.8% are women. Generally, regular cigarette smokers consumed an average of 11

cigarette sticks daily, specifically 11.2 in men and 8.6 in women. Generally, the average age

of the regular cigarette smokers between 15-34 years old is 17.5 years old, specifically 17.5

years old in men and 18.3 years old in women.

2.2 General Design Considerations

Healthcare industry has a great influence in the development and success of a community

(Aladin, RJL., et.al., 2014). It is the segment that maintains the overall well-being within the
economic system. It provides goods and services that treat patients with curative, preventive,

rehabilitative, and palliative care. Health buildings play a major role than any other buildings

because it has a directly affects human health. With non-stop operation, different types of

activity, and great number of people with different physical and psychological needs, the need

for a wholesome healthcare environment in terms of design and planning is essential.

Currently, related professionals, particularly architects, have been studying the effective

designs and spaces that will respond to the needs of patients in terms of both physical and

psychological health (Reginaldo, K.C., 2013). Even cognitive psychologists strongly agree

that physical health environment can significantly affect the physical and psychological

wellbeing of the users (Hughes, 2008). Research collaboration between related professionals

have been striving to find a solution to the increasing need for improvement in the healthcare

setting of hospitals. Healthcare should not only cater the physical health needs of patients but

also psychological health needs through design that encourages social support system between

patient, family, and staff. “Thought in the past to be institutional and restrictive with little

room for creativity, hospitals were likened to machines through the use of adjectives such as

dehumanizing, neutering and frightening” (Vitello, 2011).Most of our current hospitals were

designed in the traditional way, which reported to cause stress, fear and anxiety among patients

because of its outdated facilities and intimidating environment.

Apart from training and work methods, one of the major factors influencing the

productivity of a hospital depends on how spaces and facilities are strategically designed and

layout. The design and layout of a healthcare facility plays an important role in the total
operation of the system. Integration of the user’s needs, materials to be used in terms of

finishes and facility’s operation, and machinery are the vital factors of an effective healthcare

facility design and layout, creating a unified, productive system.

According to Venderber (2015), there are six patterns in the relationships of the built

environment, human health and sustainability that is essential in the healing process of

patients. These six patterns are believed to be valued since the ancient time. These are natural

ventilation, natural daylight and view, water and sanitation, landscape, building configuration

and site planning, conservation of historic resources and local building materials and self-

sufficiency.

The role of design in the healthcare services is not only limited in the aesthetical aspects,

but it should also extend its knowledge in the aspects of human factors, behavior, perception,

emotion and cognition (Health Design Network, 2016). “Building design can help us live

better and longer lives” (Griffin, 2015). Example, a garden that is wisely lighted and located

in the center of the hospital persuade patients and other users to relax for a few moments in

the peaceful garden rather than walking in the busy corridors or sitting in a four-walled lounge

room. In a study by Roger Ulrich’s, he believes that views of nature, such as trees from

windows help in the fast healing process of a patient.

There are 5 factors needed to consider in designing a hospital (Abu Al-Ainin, 2013).

These are efficiency, flexibility, interior design aesthetics, cleanliness and easy maintaining,

and accessibility. Efficiency refers to the planning of regularly used spaces through lessening
the travel distance of patients and staff. Flexibility refers to the modular approach in layout

and planning of spaces, and strategically planned open-ended design for future development.

Interior design aesthetics refers to features that helps patients feel comfortable and happy even

in the hospital setting. Example of this is use of lively colors, proper natural and artificial

lighting, beautiful outdoor views and relaxing painting and artworks. Cleanliness and easy

maintaining refers to materials and finishes that are easy to clean, durable, and not easily

stained by dirt and bacteria. Lastly, accessibility refers to universal design in both external and

internal areas of the hospital for the convenience of all types of patients and other users,

especially the persons with disabilities (PWD).

Convenience of spaces and sense of security are the factors that contribute major influence

in the satisfaction and well-being of the patients (TNO, 2014). Convenience of spaces is

greater with larger window openings, lesser balustrade and window grills, and more natural

outdoor views. Sense of security is determined on how an unauthorized person can easily

access the patient’s privacy.

2.3 Concept and Theory

Some current studies also suggest that the natural environment may have a positive

upbringing in relation to human health in three major ways: promoting physical movement,

social relationship, and assisting physical and psychological renewal (Stigsdotter, U.,2015).

There are adequate evidence and leading theories that support the idea such as Affective

Aesthetic theory and the Attention Restoration Theory.

 The Theory of Supportive Design suggests that the ability of healthcare environments in

providing better services is related to its ability to deal, protect and reduce patient’s stress

(Ulrich, 2012). Stress management in patients is an essential healthcare objective because it

influences in worsening patient’s ill condition. The theory is composed of guidelines relevant

in creating an effective environment in healthcare facilities. The data gathered came from

extensive researches from all possible fields relevant to the subject (Laurentz and Rawecka,

2010).

Healthcare facilities should not only be designed to such a place where diseases are being

treated but its overall design should also provide a healthy environment in all aspects of well-

being and aid in the healing process of the patients (Health Building Note, 2014). Themes

such as innovative design, creation of a therapeutic environment, future-responsive design,

whole-life costs and carbon rating, are the necessary design considerations for a sustainable

healthcare facility. To conserve for almost 50% of the regular energy consumption in a

hospital, public or common spaces like lobbies and canteen, it is necessary to optimize the

natural lighting through the use skylights, larger window openings and right selection of the

type of glass (Cabacungan et.al., 2013). A study from Environmental Protection Agency

(2010) shows that switching into a renewable and sustainable energy use can reduce up to 30%

of total energy use in the health sector (Huang, 2011).

Evidence Based Design (EBD) is a current trend in medical and architectural field in

which the design and planning of healthcare facility is based upon the gathered evidence

through extensive research study (Alfonsi E., et.al, 2014). The primary objective of EBD is to
create an improve health environment integrating the social relationship between the patients,

family and staff. Social relationship is still essential for patients who might be isolated in their

bedrooms (FEMA, n.d.). Hospitals are encouraging family involvement and providing more

public spaces or amenities for social interaction. The introduction of EBD rises from some

common issues that the overall healthcare operation has been encountering. These include

debate between multiple or single bedroom, poor ventilation, noisy and busy surrounding,

unsuitable selection of materials and finishes, absence of social life, and poor staff

performance (Becker and Parsons, 2007).

2.4 Color in Healthcare

There is a significant relationship between color and environment. Color affects our

perception to the type of environment that we are in. Just like in healthcare setting, where

patients were most likely feel unwell, colors can provide healing and comfort on viewers,

particularly on patients (Babin, S.E., 2013).

Color application in the healthcare design is said to affect patients and other users.

Visually clear signages is essential in guiding patients and other users, particularly those who

are visually impaired and disabled. Approaches like color coding lessens confusion and help

in making decisions. Example of this is red for warning and yellow for caution. Color has a

significant influence in promoting an accessible environment in healthcare (Dalke, h. et.al.,

2004). Textures and selection of materials can assist visually disabled persons through visual

and tangible signs.

Proper selection of colors should be considered in designing a healthcare facility (Health

Building Note, 2014). Colors can affect the room lighting which affects the visual comfort of

patients. Use of contrasting colors like white-on-dark color is encourage, while use of

monochromatic colors should be avoided to avoid confusion by visually impaired patients.

Thought the significant effect of color in the healing process of patients is agreeable, it is

also essential for designers to consider the distinct needs of the different groups of users, such

as the patients, visitors and staff (Ghamari et.al., 2016). In relation to staff, color can decrease

medical errors and increase staff confidence and productivity.

2.5 Guidelines in The Planning and Design of a Hospital

1. Environment

A hospital and other health facilities shall be so located that it is readily accessible to the

community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not

be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial

plants, disposal plants.

2. Occupancy

A building designed for other purpose shall not be converted into a hospital. The location

of a hospital shall comply with all local zoning ordinances.

3. Safety

A hospital and other health facilities shall provide and maintain a safe environment for

patients, personnel and public. The building shall be of such construction so that no hazards

to the life and safety of patients, personnel and public exist. It shall be capable of withstanding

weight and elements to which they may be subjected.

4. Security

A hospital and other health facilities shall ensure the security of person and property within

the facility.

5. Patient Movement

Spaces shall be wide enough for free movement of patients, whether they are on beds,

stretchers, or wheelchairs. Circulation routes for transferring patients from one area to another

shall be available and free at all times.

6. Ventilation

Adequate ventilation shall be provided to ensure comfort of patients, personnel and public.

7. Material Specification

Floors, walls and ceilings shall be of sturdy materials that shall allow durability, ease of

cleaning and fire resistance.

8. Parking
 A hospital and other health facilities shall provide a minimum of one (1) parking space for

every twenty-five (25) beds.

9. Zoning

The different areas of a hospital shall be grouped according to zones as follows:

9.1. Outer Zone – areas that are immediately accessible to the public: emergency service,

outpatient service, and administrative service. They shall be located near the entrance

of the hospital.

9.2. Second Zone – areas that receive workload from the outer zone: laboratory,

pharmacy, and radiology. They shall be located near the outer zone.

9.3. Inner Zone – areas that provide nursing care and management of patients: nursing

service. They shall be in private areas but accessible to guests.

9.4. Deep Zone – areas that require asepsis to perform the prescribed services: surgical

service, delivery service, nursery, and intensive care. They shall be segregated from

the public areas but accessible to the outer, second and inner zones.

9.5. Service Zone – areas that provide support to hospital activities: dietary service,

housekeeping service, maintenance and motor pool service, andmortuary. They shall

be located in areas away from normal traffic.

10. Function
The different areas of a hospital shall be functionally related with each other.

10.1. The emergency service shall be located in the ground floor to ensure immediate

access. A separate entrance to the emergency room shall be provided.

10.2. The administrative service, particularly admitting office and business office,

shall be located near the main entrance of the hospital. Offices for hospital

management can be located in private areas.

10.3. The surgical service shall be located and arranged to prevent non-related traffic.

The operating room shall be as remote as practicable from the entrance to provide

asepsis. The dressing room shall be located to avoid exposure to dirty areas after

changing to surgical garments. The nurse stations shall be located to permit visual

observation of patient movement.

10.4. The dressing room shall be located to avoid exposure to dirty areas after changing

to surgical garments. The nurse station shall be located to permit visual observation

of patient movement.

10.5. The nursing service shall be segregated from public areas. The nurse station shall

be located to permit visual observation of patients. Nurse stations shall be provided

in all inpatient units of the hospital with a ratio of at least one (1) nurse station for

every thirty-five (35) beds. Rooms and wards shall be of sufficient size to allow for
 work flow and patient movement. Toilets shall be immediately accessible from rooms

and wards.

10.6. The dietary service shall be away from morgue with at least 25-meter distance.

REFERENCES

Review of Related Literature

1. World Health Organizations. (2014). Retrieved from

http://www.who.int/countries/phl/en/

2. Global Adult Tobacco Survey: Executive Summary. (2015). Retrieved from

https://psa.gov.ph/sites/default/files/kmcd/GATS-PHL2016-

Executive%20Summary_13Mar2017.pdf

3. Verderber, S. (2018). Innovations in Hospital Architecture (ebook). Retrieved from

eBook Collection (EBSCOhost).

4. Sternberg, E. M. (2009). Healing Spaces. Harvard University Press.

5. McCullough, C. (2018). Evidence-Based Design for Healthcare Facilities. Sigma

Theta Tau International.

6. Noël, G., & Frascara, J. (2016). Health and Design: Fostering a culture of collaboration

through education. Health Design Network.

7. Bosch S. J. (2012). The Application of Color in Healthcare Settings. Jain Malkin, Inc.

8. Griffin, C. H. (2015). Planning, Design and Construction of Health Care Facilities.

The Joint Commission.

9. Abu Al-Ainin, M. (2013). The Hospital Design Introduction

10. TNO. (2014). Evidence-Based Healthcare Design.

11. Health Building Note 00-01. (2014). General design guidance for healthcare buildings.

12. Alfonsi, E., Capolongo, S., & Buffoli, M., (2014). Evidence Based Design and

healthcare: an unconventional approach to hospital design.

13. Smith, J. (2007). Health and Nature: The Influence of Nature on Design of The

Environment of Care. The Environmental Standards Council Of The Center For Health

Design.
14. Babin, S. E. (2013). Color Theory: The Effects of Color in Medical Environments.

15. FEMA. (2016). Hospital Design Considerations. Retrieved from

https://www.fema.gov/media-library-data/20130726-1610-20490-3588/577_ch1.pdf

16. Ghamari, H., & Amor, C. (2016). The Role of Color in Healthcare Environments,

Emergent Bodies of Evidence-based Design Approach. Creative Commons

Attribution License.

17. Becker, F., & Parsons, K. S. (2007). Hospital facilities and the role of evidence-based

design. Department of Design and Environmental Analysis, Cornell University, Ithaca,

New York, USA.

18. Laurentz, E., & Rawecka, P. (2010). Service Design in Public Healthcare

Improvements of an Emergency Waiting Room.

19. Hughes R. G. (Editor). (2008). Patient Safety and Quality: An Evidence-Based

Handbook for Nurses. Agency for Healthcare Research and Quality (US).

20. Huang, Y. (2011). Impact of Green Building Design on Healthcare Occupants: With

A Focus on Healthcare Staff. Michigan State University.

Review of Related Study

21. Uthman, O. A., Hartley, L., Rees, K., Taylor, F., Ebrahim, S., & Clarke, A. (2015).

Multiple risk factor interventions for primary prevention of cardiovascular disease in

low- and middle-income countries. John Wiley & Sons, Ltd.

22. Cabacungan, N. R., Libiran, D. P. C., & Siobal, A. C. (2013). Design of a Five- Storey

Sustainable Government Hospital in Pasay City. Mapua Institute of Technology,

Muralla St. Intramuros Manila.

23. Arreola, J. S. (2016). Facility Design for Out Patient Department of Tertiary Public

Hospitals. A Thesis. School of Industrial Engineering and Engineering Management,

Mapúa Institute of Technology.

24. Aladin, R. J. L., Bacay, G. A. D., & Bolo, J. M. C. (2014). Proposed Four-Storey

Medical Center Building using Encased Steel Composite Structure with Green Design

in Mandaluyong City. School of Civil, Environmental and Geological Engineering,

Mapua Institute of Technology, Manila City.

25. Reginaldo, K. C. (2012). Redefining Healing Spaces: A Case Study Creating A

Therapeutic Environment. A Thesis. Mapua Institute of Technology, Intramuros,

Manila.
 26. Mogensen, J., (2013). Health Caring Architecture: Spaces For Social Support. Aalborg

University, Department of Architecture, Design & Media Technology.

27. Vitello, R. J. (2011). Defining Excellence in Healthcare Design: The Role of Personal

Qualities. Thesis. Interior Design Program. University of Nebraska-Lincoln.

28. Stigsdotter, U. (2015). Nature, Health & Design. International journal of sustainable

tropical design research and practice.

29. Ulrich, R. S. (2012). Effects of Healthcare Environmental Design on Medical

Outcomes. From http://www.capch.org

30. Castro, M. F., Mateus R., & Bragança, L. (2011). Improving sustainability in

healthcare with better space design quality. Department of Civil Engineering,

University of Minho, Guimarães, Portugal.

CHAPTER III: METHODOLOGY

3.1 Research Methods

 The method of research to be used will be descriptive. A satisfaction survey among the

patients, staff and visitors of the hospital will be conducted to accomplish the required data

and information useful in acquiring information about the present condition of the physical

health environment of the hospital, to know the user’s concerns, and to obtain ideas and

recommendations relevant to the research. This research design also aims to understand and

determine possible existing influence on users and its environment.

3.2 Research Instruments

The research instrument to be used will be a satisfaction survey to measure the total

satisfaction rating of the respondents to the physical health environment of St. Luke’s Medical

Center in Cubao, Quezon City. Each respondent was given similar survey-type questionnaire

and they will rate each question based on their personal satisfaction. The satisfaction rate

varies from very dissatisfied, somewhat dissatisfied, neutral, somewhat satisfied and very

satisfied.

3.3 Research Locale

The survey will be conducted on St. Luke’s Medical Center (SLMC), Cubao, Quezon

City. SLMC is selected because it is the leading healthcare institution in the Philippines which

provide cutting-edge services on heart and lung-related diseases such as Cardiac Arrhythmia

and Atrial Fibrillation Service, and Congenital Heart Disease Service. They also have
institutes that uses cutting-edge technology for diagnosis and treatment of diseases, such as

Heart Institute and Institute of Pulmonary Medicine.

Figure 2: Vicinity Map Figure 3: St. Luke’s Medical Center, QC

(Map)

3.4 Population Universe and Subjects of The Study

 The population universe will focus on patients because they are the primary beneficiaries

of the overall services and operation of the hospital and the patient’s physical and

psychological health are mostly affected by the condition of a hospital’s physical environment,

thus their personal preferences is of utmost significant. Staff and visitors will also be the target

of the survey because staff’s work performance and visitor’s comfort are also affected by the

hospital’s physical health environment.

3.5 Sampling Procedure

Non-random sampling will be used in selecting the respondents. Among the 100

respondents of the survey, disregarding if they are a patient, staff or visitor, each respondent

will be assigned with corresponding number from 1 to 100. 10 respondents in numbers chosen

between regular intervals of 10 will be selected to represent the whole 100 respondents.

3.6 Research Design

The research design will consist of descriptive and case studies, surveys and data

gathering to determine the current condition of the hospital’s physical health environment

accurately. This research design also aims to understand and determine possible existing

influence on users and its environment.

3.7 Statistical Treatment

 The statistical treatment used was descriptive statistics to describe the results and data

collected from the conducted satisfaction survey. Statistical mode is used to describe the level

of satisfaction with the highest rate. The rate of each level of satisfaction represents the number

of respondents. The higher the rate, the greater number of respondents who agree.

The satisfaction survey aims to understand and analyze the opinions and preferences of

users, namely the patients, staffs and visitors, regarding the physical health environment of St.

Luke’s Medical Center in Cubao, Quezon City. The survey will be answered through a

questionnaire and the target respondents will be the patients, staffs and visitors of the hospital.
 CHAPTER IV: ANALYSIS AND PRESENTATION

St. Luke's Medical Center, QC

Physical Health Environment User's Satisfaction Chart
6
Satisfaction Rate

5
4
3
2
1
0
Comfortable Well-maintained
Good Ventilation Good Lighting
Waiting Area Walls and Floors
Very Satisfied 3 1 2 2
Somewhat Satisfied 5 1.5 1.5 2
Neutral 1.5 1 4 1.5
Somewhat Dissatisfied 0.5 5 2 4
Dissatisfied 0 2 0.5 0.5
Areas in Physical Health Environment

Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Dissatisfied

Figure 4: March 2018 - St. Luke’s Medical Center, Cubao, Quezon City Physical Health

Environment Satisfaction Survey Result.

Figure 2 shows the total satisfaction rate results of the survey conducted in St. Luke’s

Medical Center, Cubao, Quezon City. In ventilation of the facilities, most respondents (50%)

were somewhat satisfied. In comfort of the waiting area, most respondents (50%) were

somewhat dissatisfied. In terms of lighting of the whole facilities, most respondents (40%)
were neutrally satisfied. Lastly, in maintenance of walls and floor cleanliness, most

respondents (40%) were somewhat dissatisfied.

(Sample Questionnaire)

PHYSICAL HEALTH ENVIRONMENT SATISFACTION SURVEY

Location: St. Luke’s Medical Center, Cubao, Quezon City

NAME :

_____________________________________________________________________

DATE : ________________________________

Please rate the following items based on your level of satisfaction. Please check (√) the box

of your best choice.

STRONG DISAGR NEUTR STRONG

ITEMS OF SATISFACTION AGREE
LY EE AL LY
 DISAGR DISAGR

EE EE

1. Well-Ventilated Corridors and

Common Areas

2. Comfortable Waiting Area

3. Good Lighting

4. Well-Maintained Floors and

Walls

________________________________

Respondent’s Signature

CHAPTER V: SUMMARY OF FINDINGS AND CONCLUSION