Hospital Questionnaire

Id ke to thank you for takng the tme to speak wth us. Currenty we are carryng out a research pro|ect to understand trends n hospta
beds among dherent hosptas & nursng homes n Inda. We are ntervewng Key Opnon Leaders (senor doctors and decson makers) to
anayze ther opnons and requrements regardng use of hospta ar beds. Pease be assured that, that f you so wsh, your dentty w be
kept strcty condenta. I woud smpy ke to ask you a few questons on ths sub|ect. Pease fee free to te me, f you are uncomfortabe
wth answerng any of the questons.
Hospta Name _________________________________________________________________________________________
Address _________________________________________________________________________________________
Respondent Name _________________________________________________________________________________________
Desgnaton _________________________________________________________________________________________
Phone No: _________________________________________________________________________________________
Mobe No: _________________________________________________________________________________________
Ema: _________________________________________________________________________________________
Type of Hospta: Prvate 1 Govt. 2
No. of OPD per day
No. of IPD per day
No. of hospta beds
O1. Pease gve us some detas about the Hospta Beds and Mattresses you possess?
Company Name
(Hospital Beds) No. of Beds
No. of Air
Mattresses
Brand Name
of Air
Mattresses
Year of
Purcase
!arranty (No. of
years)
Price of Air
Mattresses
("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
Confdential
O2. Pease gve us some detas about the Autocaves you use?
Company Name
(Autocla$e)
No. of
Autocla$es
Brand Name of
Autocla$es
Year of
Purcase !arranty (No. of years)
Price of
Autocla$es ("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
O3. Pease gve us some detas about the Sucton Pumps you use n hospta?
Company Name (%uction
Pumps)
No. of %uction
Pumps
Brand Name of
%uction Pumps
Year of
Purcase !arranty (No. of years)
Price of %uction
Pumps ("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
O4. Pease gve us some detas about the Operaton Theatre Lamps you use?
Company Name (&'
(amps)
No. of &'
(amps
Brand Name of
&' (amps
Year of
Purcase !arranty (No. of years)
Price of &'
(amps ("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
O5. Pease gve us some detas about the Rehabtaton products used by hospta?
Product Name No. used Brand Name Year of !arranty (No. of years) Price ("s.) Cost of AMC#
Confdential
Purcase
spares#year
1.
2.
3.
4.
5.
6.
O6. On an average how many new unts have been purchased by the hospta?
Product Name No. of units purcased in 2)1*
No. of units purcased in 2)12 No. of units purcased in 2)11
Ar Mattresses
Autocaves
Sucton Pumps
OT Lamps
Rehabtaton Products
a)
b)
c)
O. 7. Pease te me what knd of servce support you get from the company (for Ar Mattresses)?
Ar Mattresses Autocaves
Sucton
Pumps OT Lamps
Rehabtaton
Products
(1....)
Rehabtaton
Products
(2....)
Rehabtaton
Products
(3....)

O.8. Foowng are a few factors whch commony nuence decson-makng process at the tme of equpment purchase? Can you please
ran+ tese in order of importance on a scale of 1 to 1), !ere 1 - (east .mportant/ 1)-Most .mportant
Parameters for Air Mattresses # Autocla$es # %uction Pumps # &' (amps # "ea0ilitation Products
Product
Speccaton
Accuracy n
resuts
Tme of
resuts Prce
Brand
Image
After Saes
Servce
Tranng
gven by
company
Ease of
Use
Loca
Representaton of
the Company
Confdential

O. 9. Pease te me how you purchase these products for your hospta? (Source of purchase)
%ource of purcase
1irectly
from te
company 1istri0utors
%uppliers
of te
e2uipment
%ales
persons
of te
company
Any oter
(specify)33333333
Ar Mattresses
Autocaves
Sucton Pumps
OT Lamps
Rehabtaton Products (1....)
Rehabtaton Products (2....)
Rehabtaton Products (3....)
O. 10. Are you pannng to buy any new product n near future?
Ne4 product purcase plan Yes No
.f Y5%/ o4 many,
Ar Mattresses
Autocaves
Sucton Pumps
OT Lamps
Rehabtaton Products (1....)
Rehabtaton Products (2....)
Rehabtaton Products (3....)
One of the word eadng company woud ke to enter n the segment n Inda, woud you ke to purchase products from that company
Yes 1 No 2
Confdential
Any other suggestons /comments?
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Confdential