ENTER THE RESPONSES

FROM 1 TO 5 WHERE 5- Completely satisfied

4-Somewhat Satisfied
3-Undecided
2-Somewhat Dissatisfied
1-Completely Dissatisfied

NO RESPONSES SHOULD BE ENTERED IN DARK BROWN ROWS

Enter the responses of the patients under each number alloted
1 2 3 4
Enter the responses of that respondent only the details of which have b

S.No. Factors
1 Physicians
Skill 2 3 4 1
Courtsey 2 3 4 1
Punctuality 2 3 4 1
2 Support Staff
Nurses 2 3 4 1
Ward Boys 2 3 4 1
Receptionist 2 3 4 1
Lab technician 2 3 4 1
Pharmacy staff 2 3 4 1
Billing staff/Cashier 2 3 4 1
Any other 2 3 4 1
3 Support Services
Kitchen 2 3 4 1
Radio-diagnosis 2 3 4 1
Pathology 2 3 4 1
Pharmacy 2 3 4 1
4 Time spent
Diagnosis 2 3 4 1
Registration 2 3 4 1
Pharmacy 2 3 4 1
Cashier counter 2 3 4 1
Tests (pathology or radio-diagnosis 2 3 4 1
5 Efficiency of treatment 2 2 2 2
6 Infrastucture 5 5 5 5
7 Convenience 2 2 2 2
8 Comfort 2 2 2 2
9 Cleanliness
Corridors 2 3 4 1
Waiting Room 2 3 4 1
Bath room 2 3 4 1
Wards 2 3 4 1
10 Expenses
Medicine 2 3 4 1
X-ray 2 3 4 1
Pathology 2 3 4 1
 Radio-diagnosis 2 3 4 1
Overall treatment 2 3 4 1
11 Procedural 2 2 2 2
12 Information Dissemination 4 4 4 4
13 Grievance Redressal 5 5 5 5
14 Emergency Services
Treatment 2 3 4 1
Time spent 2 3 4 2
Information Dissemination 2 3 4 4
Expenses 2 3 4 1
15 Overall Medical Services 1 1 1 2
 5- Completely satisfied
4-Somewhat Satisfied
3-Undecided
2-Somewhat Dissatisfied
1-Completely Dissatisfied

NTERED IN DARK BROWN ROWS

under each number alloted Enter the responses of the patients under each number alloted
5 6 7 8 9 10 11 12 13 14
dent only the details of which have been provided in sheet 2 respectively Enter the responses of th

2 3 4 2 3 1 4 2 2 2
2 3 4 2 3 1 4 2 2 2
2 3 4 2 3 1 4 2 2 2

3 4 4 2 3 1 4 2 2 2
3 2 4 2 3 1 4 2 2 2
3 3 4 2 3 1 4 2 2 2
3 1 4 2 3 1 4 2 2 2
3 3 4 2 3 1 4 2 2 2
3 3 4 2 3 1 4 2 2 2
2 3 4 2 3 1 4 2 2 2

2 5 4 2 3 1 4 2 2 2
2 4 4 2 3 1 4 2 2 2
2 5 4 2 3 1 4 2 2 2
2 2 4 2 3 1 4 2 2 2

2 3 5 2 3 1 4 2 2 2
2 3 4 2 3 1 4 2 2 2
2 3 2 2 3 1 4 2 2 2
2 3 3 2 3 1 4 2 2 2
2 3 2 2 3 1 4 2 2 2
2 2 1 2 2 2 2 2 2 2
5 5 4 5 5 5 5 5 5 5
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2

2 1 1 2 3 1 4 2 2 2
2 2 1 2 3 1 4 2 2 2
2 1 1 2 3 1 4 2 2 2
2 2 1 2 3 1 4 2 2 2

2 3 1 2 3 1 4 2 2 2
2 3 1 2 3 1 4 2 2 2
2 3 2 2 3 1 4 2 2 2
2 3 1 2 3 1 4 2 2 2
2 3 2 2 3 1 4 2 2 2
2 2 3 2 2 2 2 2 2 2
4 4 2 4 4 4 4 4 4 4
5 5 1 5 5 5 5 1 1 1

2 3 1 2 3 1 4 2 1 2
2 3 2 2 3 1 4 2 2 2
2 3 4 2 3 1 4 2 4 2
2 3 1 2 3 1 4 2 1 2
1 1 2 1 1 1 1 1 2 1
 5- Completely satisfied 5- Completely satisfied
4-Somewhat Satisfied 4-Somewhat Satisfied
3-Undecided 3-Undecided
2-Somewhat Dissatisfied 2-Somewhat Dissatisfied
1-Completely Dissatisfied 1-Completely Dissatisfied

Enter the responses of the patients under each number alloted

15 16 17 18 19 20 21 22 23 24
Enter the responses of that respondent only the details of which have been provided in sheet 2 respectively

1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1

1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1

1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1

1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
2 2 2 2 2 2 2 2 2 2
5 5 5 5 5 5 5 5 5 5
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2

1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1

1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
1 3 3 4 2 1 2 3 2 1
2 2 2 2 2 2 2 2 2 2
4 4 4 4 4 4 4 4 4 4
1 1 1 1 1 1 1 1 1 1

1 3 3 1 1 1 2 1 1 1
2 3 3 2 2 1 2 2 2 1
4 3 3 4 4 1 2 4 4 1
1 3 3 1 1 1 2 1 1 1
2 1 1 2 2 1 1 2 2 1
etely satisfied 5- Completely satisfied
hat Satisfied 4-Somewhat Satisfied
3-Undecided
hat Dissatisfied 2-Somewhat Dissatisfied
etely Dissatisfied 1-Completely Dissatisfied

Enter the responses of the patients under each number alloted Enter the responses of the patients u
25 26 27 28 29 30 31 32 33 34
Enter the responses of that respondent only the details of which have been provided in sheet

2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2

2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2

2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2

2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 2 2 2 2 2 2 2 2 2
5 5 5 5 5 5 5 5 5 1
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2

2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2

2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 3 2 1 4 2 3 2 3 2
2 2 2 2 2 2 2 2 2 2
4 4 4 4 4 4 4 4 4 4
1 1 1 1 1 1 1 1 1 1

2 3 1 1 4 2 3 2 3 2
2 3 2 2 4 2 3 2 3 2
2 3 4 4 4 2 3 2 3 2
2 3 1 1 4 2 3 2 3 2
1 1 2 2 1 1 1 1 1 1
 5- Completely satisfied
4-Somewhat Satisfied
3-Undecided
2-Somewhat Dissatisfied
1-Completely Dissatisfied

responses of the patients under each number alloted Enter the responses of the patients under each number allo
35 36 37 38 39 40 41 42 43 44
ave been provided in sheet 2 respectively Enter the responses of that respondent only the details of which have b

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 2 2 2 2 2 2
1 1 1 1 1 1 1 1 1 1
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 2 2 2 2 2 2
4 4 4 4 4 4 4 4 4 4
1 1 1 1 1 1 1 1 1 1

2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
2 2 2 2 4 4 4 4 1 1
1 1 1 1 1 1 1 1 1 1
 5- Completely satisfied
4-Somewhat Satisfied
3-Undecided
2-Somewhat Dissatisfied
1-Completely Dissatisfied

nts under each number alloted

45 46 47 48 49 50 51 52 53 54
y the details of which have been provided in sheet 2 respectively Enter the responses of that respondent only the details of w

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
2 2 2 2 2 2 2 2 2 2
1 1 1 1 1 1 1 1 1 1
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 1 11 1 1 1 1 1 1
1 1 2 2 2 3 3 3 2 2
2 2 2 2 2 2 2 2 2 2
4 4 4 4 4 4 4 4 4 4
1 1 1 1 1 1 1 1 1 1

1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 2 2 2 3 3 3 2 2
1 1 1 1 1 1 1 1 1 1
 Annexure 3 : Module for Patient Satisfaction Studies

5- Completely satisfied
4-Somewhat Satisfied
3-Undecided
2-Somewhat Dissatisfied
1-Completely Dissatisfied

DO NOT ENTER ANY THING IN THESE COLUMNS

55 56 57 58 59 60 SUB-TOTAL
ondent only the details of which have been provided in sheet 2 respectively See here for ratings

of attributes

2 1 1 1 1 4 138
2 1 1 1 1 4 138
2 1 1 1 1 4 138

2 1 1 1 1 4 140
2 1 1 1 1 4 138
2 1 1 1 1 4 139
2 1 1 1 1 4 137
2 1 1 1 1 4 139
2 1 1 1 1 4 139
2 1 1 1 1 4 138

2 1 1 1 1 4 140
2 1 1 1 1 4 139
2 1 1 1 1 4 140
2 1 1 1 1 4 137

2 1 1 1 1 4 139
2 1 1 1 1 4 138
2 1 1 1 1 4 136
2 1 1 1 1 4 137
2 1 1 1 1 4 136
2 2 2 2 2 2 119
1 1 1 1 1 1 191
2 2 2 2 2 2 120
2 2 2 2 2 2 120

2 1 1 1 1 4 133
2 1 1 1 1 4 134
2 1 1 1 1 4 133
2 1 1 1 1 4 134

2 1 1 1 1 4 135
2 1 1 1 1 4 135
2 1 1 1 1 4 136
1 1 1 1 1 1 130
2 1 1 1 1 4 136
2 2 2 2 2 2 121
4 4 4 4 4 4 238
1 1 1 1 1 1 100

2 1 1 1 1 4 126
2 1 1 1 1 4 136
2 1 1 1 1 4 156
2 1 1 1 1 4 126
1 1 1 1 1 1 70

TOTAL
TOTAL COMPOSITE SCORE
SEE THE GRAPH BELOW FOR FINAL OUTPUT PLOT
INDICES PLOT
80

70

60

50
Indices

40

30

20

10

0
14 ow

18 ow

26 ow

31 ow

37 ow

38 ow

39 ow

40 ow

41 ow

46 ow

52 ow
R

R
Factors
tely satisfied 5- Completely satisfied
at Satisfied 4-Somewhat Satisfied
3-Undecided
at Dissatisfied 2-Somewhat Dissatisfied
ely Dissatisfied 1-Completely Dissatisfied

NTER ANY THING IN THESE COLUMNS

TOTAL COMPOSITE INDICES FACTORS

138 46 Physicians
Skill
Courtsey
Punctuality
138.57 46.19 Support Staff
Nurses
Ward Boys
Receptionist
Lab technician
Pharmacy staff
Billing staff/Cashier
Any other
139 46.33 Support Services
Kitchen
Radio-diagnosis
Pathology
Pharmacy
137.2 45.73 Time spent
Diagnosis
Registration
Pharmacy
Cashier counter
Tests (pathology or radio-diagnosis
119 39.67 Efficiency of treatment
191 63.67 Infrastucture
120 40 Convenience
120 40 Comfort
133.5 44.5 Cleanliness
Corridors
Waiting Room
Bath room
Wards
134.4 44.8 Expenses
Medicine
X-ray
Pathology
 Radio-diagnosis
Overall treatment
121 40.33 Procedural
238 79.33 Information Dissemination
100 33.33 Grievance Redressal
136 45.33 Emergency Services
Treatment
Time spent
Information Dissemination
Expenses
70 23.33

678.56
45.24 Medical Services
L OUTPUT PLOT
INDICES PLOT
38 ow

39 ow

53 ow

54 ow

55 ow

60 ow
40 ow

41 ow

46 ow

52 ow
R

Factors
 ENTER ALL THE DETAILS OF
Click on the numbers to go to sheet 3
S.No. Details 1 2 3 4

1 Name
2 Age
3 Sex
4 Address
5 Occupation
6 Income level
7 Type of patient
8 Department visited
9 Type of ward
10 Krupa holder
11 No. of visits to SKH
12 Any other
 DETAILS OF THE RESPONDENT

ENTER ALL THE DETAILS OF A RESPONDENT IN THIS SHEEET AND ENTER THE DETAILS IN SHEET ONE SIMULTANEOUSLY U
Click on the numbers to go to sheet 1
5 6 7 8 9 10 11 12 13 14
ONE SIMULTANEOUSLY UNDER RESPECTIVE NUMBER ONLY ENTER ALL THE DETAILS OF A RESPONDENT IN THIS
Click on the numbers to go to sheet 1
15 16 17 18 19 20 21 22 23 24
 DETAILS OF THE RESPONDENT

A RESPONDENT IN THIS SHEEET AND ENTER THE DETAILS IN SHEET ONE SIMULTANEOUSLY UNDER RESPECTIVE NUMBER
Click on the numbers to go to sheet 1
25 26 27 28 29 30 31 32 33 34
 DETAILS OF THE RESPONDENT

R RESPECTIVE NUMBER ONLY

Click on the numbers to go to sheet 1
35 36 37 38 39 40 41 42 43 44
Click on the numbers to go to sheet 1 Click on the numbers to go to sheet 1
45 46 47 48 49 50 51 52 53 54
DETAILS OF THE RESPONDENT

Click on the numbers to go to sheet 1

55 56 57 58 59 60
 COMPLAINT SHEET OR QUALITATIVE INFOR
The Nos. are the respondent identities.Complaint or qualitative information can be

Complaint no. 1 2 3 4 5 6 7
1
2
3
4
5
6
7
8
9
10
QUALITATIVE INFORMATION
alitative information can be registered in respective cells.

8 9 10 11 12 13 14 15 16 17
 The Nos. are the respondent identities.Complaint or qualitative information can be registered

18 19 20 21 22 23 24 25 26 27
ormation can be registered in respective cells. The Nos. are the respondent identitie

28 29 30 31 32 33 34 35 36 37
are the respondent identities.Complaint or qualitative information can be registered in respective cells.

38 39 40 41 42 43 44 45 46 47
 The Nos. are the respondent identities.Complaint or qualitative information can be

48 49 50 51 52 53 54 55 56 57
alitative information can be registered in respective cells.

58 59 60