We are eager to receive your feedback on our ward rounds. We would be grateful if you could honestly complete the following questionnaire relating to different aspects of your experience. Please circle the response to each question that most closely reflects your views. All responses will be anonymous. |
Communication |
1. Could you see your doctor? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
2. Could you communicate with your doctor? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
3. Were you greeted by your doctor and asked about your wellbeing? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
4. Did you understand what the doctor said to you? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
5. Did you feel you could discuss any symptoms or issues bothering you? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
Dignity & Confidentiality |
6. Did you feel the doctor(s) maintained your confidentiality on the ward round? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
7. Was your dignity preserved on the ward round? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
Content |
8. Did the team effectively communicate your vital signs and test results to the senior doctor? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
9. Did the team examine you appropriately and communicate the findings to the senior doctor? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
10. Did the doctor inform you of your condition? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
11. Were you satisfied with the management plan? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
12. Did the doctors answer your questions? |
Timing |
13. Did you feel the doctors spent an appropriate amount of time with you? |
Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
14. Please list any comments you may have, including concerns or possible areas of improvement: |