Govt.

provided Medicare
Services in Sylhet City
Comparing the Satisfactions level of
Patients in private and Public Hospitals:
Name:
Age:
Education:
Problem:
Experience level: Staying as patient/ as
attendant/ as visitor/other
Days of experiences: ..
Name of Hospital:
Type of Hospital: Central/Additional/
Community/other
Easy admission process:
a. Highly agree b. Agree c. Indifferent d.
Disagree e. Highly disagree
Easy to get Medicare:
a. Highly agree b. Agree c. Indifferent d.
Disagree e. Highly disagree
1. Your satisfaction on the bed
capacity of the clinic:
a. Most Highly
b. Highly
c. Moderately
d. Poorly
e. Very Poorly
2. Your satisfaction on the OT and
Post Operative facilities of the
clinic:
a. Most Highly
b. Highly
c. Moderately
d. Poorly
e. Very Poorly
3. If dissatisfied, what are the
reasons for dissatisfaction:
a. Lack of manpower
b. Lack of required qualities of
manpower in emergency
c. Lack of Hospitability
d. Irresponsibility
e. Lack of necessary equipments

4. Your satisfaction on the CCU &

ICU facilities of the clinic:
a. Most Highly
b. Highly
c. Moderately
d. poorly
e. Very Poorly
5. Your satisfaction on doctors on
duty of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
6. If dissatisfied, what are the
reasons for dissatisfaction:
a. Minimum in number
b. Lack of required qualities
c. Lack of Hospitability
d. Irresponsibility
7. Your satisfaction on nurses on
duty of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
8. If dissatisfied, what are the
reasons for dissatisfaction:
a. Minimum in number
b. Lack of required qualities
c. Lack of Hospitability
d. Irresponsibility
9. Your satisfaction on maids on
duty of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
10. If dissatisfied, what are the
reasons for dissatisfaction:
a. Minimum in number
b. Lack of required qualities
c. Lack of Hospitability
d. Irresponsibility

11. Your satisfaction on services of

reception of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
12. If dissatisfied, what are the
reasons for dissatisfaction:
a. Minimum in number
b. Lack of required qualities
c. Lack of Hospitability
d. Irresponsibility
13. Your satisfaction on emergency
services of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
14. If dissatisfied, what are the
reasons for dissatisfaction:
a. Lack of manpower
b. Lack of required qualities of
manpower in emergency
c. Lack of Hospitability
d. Irresponsibility
e. Lack of equipments
15. Your satisfaction on diagnostic
services of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
16. If dissatisfied, what are the
reasons for dissatisfaction:
a. Lack of manpower
b. Lack of required qualities of
manpower in emergency
c. Lack of Hospitability
d. Irresponsibility
e. Lack of equipments
f. Late in reporting
g. Inferior quality of report

17. Your satisfaction on diagnostic

services of the clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
18. If dissatisfied, what are the
reasons for dissatisfaction:
a. Lack of manpower
b. Lack of required qualities of
manpower in emergency
c. Lack of Hospitability
d. Irresponsibility
e. Lack of equipments
f. Late in reporting
g. Inferior quality of report
19. Your satisfaction on cleanliness
and waste management of the
clinic:
a. Most Highly
b. Highly
c. moderately
d. poorly
e. Very Poorly
20. If dissatisfied, what are the
reasons for dissatisfaction:
a. Minimum workers in number
b. Lack of required qualities
c. Irresponsibility