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Basic Information
Sex:
Male
Famale
Not Specified
Shift:
Morning
Evening
Night
Service Date:
Nurse presence and speed of patient care
Point from zero to ten
Zero
One
Two
Three
Four
Five
How nurses behave
Point from zero to ten
Zero
One
Two
Three
Four
Five
Respect the patient and protect her privacy by nurses
Point from zero to Five
Zero
One
Two
Three
Four
Five
Respecting the patient and protecting his privacy by nurses
Point from zero to Five
Zero
One
Two
Three
Four
Five
How the doctor treats and respects the patient
Point from zero to Five
Zero
One
Two
Three
Four
Five
How the doctor treats and respects the patient
Point from zero to Five
Zero
One
Two
Three
Four
Five
Provide awareness and explanation of possible diagnosis by a physician
Point from zero to Five
Zero
One
Two
Three
Four
Five
Providing information and training on treatment and diagnostic procedures
Point from zero to Five
Zero
One
Two
Three
Four
Five
Emergency Department Cleaning and Cleaning
Point from zero to Five
Zero
One
Two
Three
Four
Five
Emergency Relaxation and Silence
Point from zero to Five
Zero
One
Two
Three
Four
Five
Suitable for ventilation / cooling and heating
Point from zero to Five
Zero
One
Two
Three
Four
Five
Handle with respect and respect for service and discipline staff
Point from zero to Five
Zero
One
Two
Three
Four
Five
Provides the right imaging service with low waiting times
Point from zero to Five
Zero
One
Two
Three
Four
Five
Provide appropriate laboratory services with the help of experienced staff
Point from zero to Five
Zero
One
Two
Three
Four
Five
Refer hospital to other friends and acquaintances for services
Point from zero to Five
Zero
One
Two
Three
Four
Five