Apollo Hospitals Dhaka

A. ADMISSION PROCESS

1

Information & assistance

Excellent

Good

Fair

Poor

2

Admission process

Quick and simple (<15 min.)

Average wait

Long wait (25 to 35 min.)

Delayed(>35 minutes)

B. ROOM/WARD

1

Cleanliness, hygiene and tidiness

Excellent

Good

Fair

Poor

2

Linen (Dress, bed sheet, pillow cover, curtain towel etc.)

Excellent

Good

Fair

Poor

3

Facilities, decor and comfort

Excellent

Good

Fair

Poor

4

A/C (Room temperature)

Excellent

Good

Fair

Poor

5

Washroom

Excellent

Good

Fair

Poor

C. MEAL SERVICES

1

Dietician's advice and explanation

Excellent

Good

Fair

Poor

2

Waiters communication and presentation

Excellent

Good

Fair

Poor

3

Presentation of food

Excellent

Good

Fair

Poor

4

Food temperature

Excellent

Good

Fair

Poor

5

Quality of Food

Excellent

Good

Fair

Poor

6

Serving time of food

Excellent

Good

Fair

Poor

D. NURSING CARE

1

Response

Immediate

Prompt

Average

Delayed

2

Courtesy, friendliness and communication

Excellent

Good

Fair

Poor

3

Attitude & empathy of nurses : attention to your needs

Excellent

Good

Fair

Poor

4

Quality of care

Excellent

Good

Fair

Poor

E. PAIN MANAGEMENT

1

How well your pain was controlled

Excellent

Good

Fair

Poor

F. PHYSICLANS CARE

1

Friendliness and politeness

Pleasant

Friendly

Warm

Indifferent

2

Information and explanation : About proposed treatment plan, side effects and consent

Excellent

Good

Fair

Poor

3

Addressing concerns

Excellent

Good

Fair

Poor

G. WARD SECRETARY

1

Attitudes

Pleasant

Friendly

Warm

Indifferent

2

Information and assistance

Excellent

Good

Fair

Poor

H. BILLING AND CASH COUNTER

1

Attitude Courtesy and helpfulness

Pleasant

Friendly

Warm

Indifferent

2

Payment process

Quick and simple (<10min)

Average wait (10 to 20 min)

Long wait (21 to 35 min)

Delayed (> 35 minutes)

3

Addressing your queries

Immediate

Prompt

Average

Delayed

4

Detail and accuracy to bill

Excellent

Good

Fair

Poor

I. DISCHARGE PROCESS

1

Information & explanation : Home Care

Excellent

Good

Fair

Poor

2

Discharge process

Quick and simple (< 1 hr.)

Average wait (1 to 2 hr.)

Long wait (2 to 3 hr.)

Delayed (> 3 hr.)

J. OVERALL EXPERIENCE

Overall experience of services

Excellent

Good

Fair

Poor

K. WILL YOU COME TO THIS HOSPITAL FOR FUTURE TREATMENT?

Yes

No

L. WILL YOU RECOMMEND THIS HOSPITAL TO OTHERS?

Yes

No

M. HOW HAVE YOU COME TO KNOW ABOUT APOLLO HOSPITALS DHAKA?

Friends/relatives
Media
Website, Facebook, etc.
Referred by community physician
Other clinics/hospitals
Others

PLEASE INCLUDE YOUR NAME & CONTACT INFORMATION

*Patient's Name
*Contact Number:
*Email:
UHID:
Date of birth:
Bed number during stay:

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