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DEPARTMENT OF HEALTH SERVICES

Patient satisfaction survey:

Thank you for taking time to be part of this survey. This will assist us in ensuring that the services we provide meet your needs.

All responses will be kept confidential and anonymous.

Age: Year of study:
Sex: Male      Female

 

Please tick how well you think we are doing in the following areas: Great
5
Good
4
Ok
3
Fair
2
Poor
1
Accessibility:
Hours clinic is open
Prompt attention to emergency
reception services
Staff:
Provider:( doctors, nurses, laboratory and pharmacy technicians, reception)
Gives you attention
Takes time with you
Explains what you want to know
Gives you advice accordingly
Other staff members
Friendly and helpful to you
Facility:
Neat and clean
Ease of finding where to go
Comfort and safety while waiting
Privacy
Confidentiality
My personal information will be kept private
The likelihood of referring your friends to us
The likelihood of using our facility again

 

Please tick services you would use if introduced in the clinic

ARV (HIV/AIDS) Psychiatric (Mental health)
Dental clinic Male circumcision

Other(specify)

What do you like best about our clinic?

What do you like least about our clinic?

 
Please comment on services delivery by different providers:

Doctors:

Nurses:

Laboratory technician:

Pharmacy technician:

Reception area:

Suggestions for improvement:

Enter The Given Code* :

 

Thank you for completing our survey.

please drop this off in the survey box by reception or email to stella.tawana@mopipi.ub.bw.

Contact Details :
Main Campus: Block 120. FET campus: Block 2039