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Regional Orthopaedic Hospital, Croom

Patient Satisfaction Questionnaire


We at Croom Orthopaedic Hospital are constantly trying to improve the quality
of the service we provide. In order to ensure we continue to satisfy your needs
fully, we would be grateful if you would complete this short survey about your
stay with us.

The questions in this survey specifically deal with the quality of information you
have received regarding your care as well as your level of satisfaction with the
catering and amenity services. Some of the questions are multiple choice where
you tick the box which most closely reflects your view. Please feel free to make
any comments or suggestions on how you think we would improve our standards
of care. The aim of this questionnaire is to ensure that future patients who stay
with us receive the best possible care.

All the information recorded in this survey will remain anonymous. Results of
this questionnaire will be used to improve the quality of the service we give to
our patients.

Thank you for taking time to complete this survey.









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Questionnaire Batch C
Date Completed: _______________________

1. Can you identify the area / department you were cared for (Please tick one or
more areas).
1. St Patricks
2. St Marys
3. St J osephs:
4. Outpatients Department
5. Day ward
6. Theatre

2. Were you satisfied with your initial admission process prior to arrival on the
ward?
1-Yes 2- No
Comments:

3 (a) On arrival to the ward were all the staff welcoming to you?

1- Yes 2- No

(b) Did the staff clearly identify themselves to you?

1- Yes 2- No

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(c) Were you orientated to the ward?

1-Yes 2-No



(d)Was a brief plan of your stay explained to you at this time?

1-Yes 2-No

(e) Were you encouraged to ask questions about your stay during this
meeting?

1-Yes 2-No

(f) Were you encouraged to ask questions about your discharge during
this meeting?

1-Yes 2-No


4 (a) Were you given enough information to prepare you for your theatre
experience?
1-Yes 2-No N/A

Comments:


(b) How would you rate your theatre experience?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor

N/A




(c) Were you adequately informed with regard to the fasting procedure,
pre-surgery (Nothing to eat or drink).

1-Yes 2-No

Comments:




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5 (a) During your stay, was your pain adequately controlled?


1-Yes 2-No

5 (b) Were you asked on a regular basis about your pain?

1-Yes 2-No

5 (c) Was your pain management treated in a sympathetic
manner?

1-Yes 2-No

6. How would you rate your accommodation on the ward with regard to:

(a) Privacy?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor




(b) How would you rate the Space?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor



(c) How would you rate the noise level?

1-Excellent 2-Very Good 3-Good
4-Adequate 5-Poor


(d) How would you rate the cleanliness?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor

(e) Were you satisfied with the level of Hand Hygiene?
Yes No


Comments

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(f) How would you rate the bathroom facilities?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor



(g) How would you rate the quality of the food?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor



7. Overall how would you rate your experience at Regional Orthopaedic
Hospital Croom?

1-Excellent 2-Very Good 3-Good

4-Adequate 5-Poor


8. Personal Details

1-Age: 16-40 2 -Age: 41-65 3-Age: Over 65

1-VHI 2-Medical Card 1-Male

2-Female


9. Were visiting times suitable?

1-Yes 2-No


10. Were the staff courteous, polite, friendly and helpful during your stay?

1- Always 2 -Usually 3- Sometimes

4-Occasional 5-Never

If not please specify?

11. Did you receive enough information about your discharge prior to
leaving the hospital?

1- Yes 2-No
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12. How can we improve our service for patients in the future?




Additional Comments:


Vera Kearney1999 /upgraded 2005