🏥 St. Raphael Medical Center, Inc.

Mabalacat City, Pampanga  |  CONFIDENTIAL

📋 Ambulatory Surgical Clinic (ASC) Survey

← Back to Survey Selection
Instructions / Panuto: Kindly place a check (✓) on your choice based on your experience.
Pakilagyan po ng tsek (✓) ang inyong piniling kasagutan ayon sa inyong karanasan sa SRMCI.
Rating Scale:   5 – Excellent (Napakahusay)   4 – Very Good (Mas Mainam)   3 – Good (Mainam)   2 – Fair (Pangkaraniwan)   1 – Poor (Kailangan Pagbutihin)
I. Appointment and Scheduling
How easy was it to schedule your appointment? *
Gaano kadali ang pag-iskedyul ng iyong appointment?
How was the communication regarding your appointment time and instructions? *
Kumusta ang komunikasyon tungkol sa iyong oras ng appointment at mga tagubilin?
Did you find the waiting time for your appointment reasonable? *
Makatwiran ba ang oras ng paghihintay para sa iyong appointment?
II. Staff Interactions & Communications
Did you feel listened to and understood by your doctor? *
Naramdaman mo bang pinakinggan at naunawaan ka ng iyong doktor?
How would you rate the friendliness and professionalism of our staff? *
Anong antas ang ibibigay mo sa kabaitan at propesyonalismo ng aming mga tauhan?
Did you receive clear and understandable instructions about your surgery and post-operative care? *
Malinaw at madali ba maintindihan ang mga panuto tungkol sa iyong operasyon at pag-aalaga pagkatapos?
Did you feel confident in the knowledge and competence of our staff? *
Tiwala ka ba sa kaalaman at kakayahan ng aming mga tauhan?
III. Pre-Operative Care
How well were you informed about the procedure before it began? *
Sapat at malinaw ba ang pagpaliwanag sa inyo tungkol sa pamamaraan ng operasyon bago ito magsimula?
How did you feel about the pre-operative preparation process? *
Ano ang naramdaman mo tungkol sa proseso ng paghahanda bago ang operasyon?
Were you given clear instructions on post-operative care? *
Binigyan ka ba ng malinaw na tagubilin sa pangangalaga pagkatapos ng operasyon?
IV. Surgical Procedure
How did the staff explain the procedure to you? *
Gaano kalinaw ang pagpaliwanag sa iyo ng pamamaraan ng mga tauhan?
How comfortable were you with the staff and their approach to your surgery? *
Gaano ka naging komportable sa mga tauhan at sa kanilang diskarte sa inyong operasyon?
How well did the staff handle any questions or concerns you had during the procedure? *
Gaano kahusay ang pagsagot ng mga tauhan sa anumang mga katanungan o alalahanin sa panahon ng pamamaraan?
V. Post-Operative Recovery
How comfortable were you in the recovery area? *
Gaano ka naging komportable sa recovery area?
How satisfied were you with the quality of your surgery? *
Gaano ka nasiyahan sa kalidad ng iyong operasyon?
How would you rate your experience with pain management after your surgery? *
Anong antas ang ibibigay mo sa iyong karanasan sa pamamahala ng sakit pagkatapos ng operasyon?
How was the follow-up care provided? *
Paano ibinigay ang follow-up na pangangalaga?
Were you given clear instructions on post-operative follow-up care? *
Binigyan ka ba ng malinaw na mga panuto tungkol sa post-operative follow-up care?
VI. General Satisfaction
Overall, how satisfied were you with your experience at our Hospital? *
Sa pangkalahatan, gaano ka nasiyahan sa iyong karanasan sa aming ospital?
How likely are you to recommend our AS Clinic to others? *
Irerekomenda mo ba ang AS Clinic ng SRMCI sa iba?
How would you describe your overall level of comfort during your visit? *
Paano mo ilalarawan ang iyong pangkalahatang antas ng kaginhawaan?
How would you rate the cleanliness of our hospital? *
Anong antas ang ibibigay mo sa kalinisan ng AS Clinic ng SRMCI?
Open-Ended Comments
What was the most positive aspect of your experience at our clinic? *
Ano ang maituturing mong pinaka-positibong aspeto ng iyong karanasan sa aming clinic?
Comments & Suggestions for things that you want us to improve: *
Mga komento at mungkahi para sa mga bagay na gusto ninyong baguhin:
📋 Patient / Informant Information (Mga Pagkakakilanlan)