Respondent's ID Date of response Q01 Q02 Q03 Q04 Q05 Q06 Q07 Q08 Q09 Q10 Q11 Q12

12 Q13 Q14
2424 24/02/23 1 1 1 3 3 3 3 3 3 3 3 3 3 3
2273 11/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
2274 11/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
20/02/23 1 1 4 2 4 3 4 4 4 3 1 3 3 3
2/20/2023 1 2 3 1 4 3 4 4 4 3 3 3 3 3
20/02/23 1 2 5 1 4 3 4 4 4 3 3 3 3 3
TS 2/21/2023 1 2 1 1 4 3 4 4 4 3 3 3 3 3
RG 21/02/23 1 1 6 9 4 4 4 4 4 3 3 3 3 3
DA 20/02/23 2 1 3 9 4 3 4 4 4 3 3 3 3 3
20/02/23 1 1 2 9 4 4 4 4 4 3 3 3 3 4
17/02/23 1 2 4 2 4 4 4 4 4 3 3 3 3 3
17/02/23 1 1 5 1 4 4 4 4 4 3 4 4 4 4
20/02/23 1 2 5 9 4 4 4 4 4 3 4 3 4 3
16/02/23 1 2 6 2 3 3 3 3 3 4 3 4 4 3
16/02/23 1 1 3 9 3 4 4 4 4 3 3 4 4 3
2/21/2023 1 1 3 1 3 3 4 4 4 3 4 4 4 4
15/02/23 1 2 5 1 4 4 4 4 4 4 3 3 3 4
20/02/23 1 1 2 1 4 4 4 4 4 3 3 3 3 4
2/15/2023 1 1 2 1 4 4 4 4 4 3 3 3 3 3
2/21/2023 1 1 1 2 4 3 4 4 4 3 3 3 3 4
2/21/2023 2 2 3 1 4 4 4 4 4 3 3 2 3 4
2/21/2023 2 1 3 9 4 4 4 4 4 3 3 2 3 3
14/02/23 1 1 3 9 4 4 4 4 4 3 3 3 3 3
KA 14/02/23 2 1 3 9 4 3 4 4 4 3 3 3 3 4
TR 22/02/23 1 1 2 9 4 3 4 4 4 3 2 2 3 4
TD 22/02/23 1 1 3 1 4 4 4 4 4 4 3 3 3 4
BP 22/02/23 1 2 3 4 3 3 3 3 3 3 3 3 3 3
TJ 22/02/23 2 1 4 3 2 3 2 2 3 3 3 2 3 3
KV 22/02/23 2 4 1 3 4 3 3 3 3 3 3 3 3 3
AE 22/02/23 2 2 3 1 3 3 3 3 4 3 3 3 3 3
MC 22/02/23 1 2 4 1 3 3 3 3 3 3 3 3 3 3
KT 19/02/23 1 1 5 1 3 3 3 3 3 2 3 3 3 3
TE 22/02/23 1 1 3 3 3 3 3 3 3 2 2 3 2 3
2423 22/02/23 1 2 2 3 3 3 3 3 3 3 3 3 3 3
2422 22/02/23 1 2 2 3 3 3 3 3 3 3 3 3 3 3
2420 22/02/23 1 1 1 3 3 3 3 3 3 3 3 3 3 3
2421 22/02/23 1 2 3 3 3 3 2 3 3 3 3 3 3 3
2312 22/02/23 1 1 2 3 3 2 3 3 3 3 3 3 3 3
2414 22/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
2398 23/02/23 1 1 3 3 3 3 3 3 4 3 3 3 3 3
2407 22/02/23 1 1 1 3 2 3 3 3 3 3 3 3 3 3
2406 20/02/23 1 1 3 3 2 3 3 3 3 3 3 3 3 4
2394 22/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
22/02/23 2 2 3 3 3 3 3 3 3 3 3 3 3 3
26/02/23 1 1 2 3 4 3 4 4 4 3 3 4 4 4
2404 21/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
2393 22/02/23 1 1 1 1 3 3 2 2 3 3 2 3 3 3
2384 19/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
2381 19/02/23 1 1 2 3 3 3 3 3 3 3 3 3 3 3
 2373 19/02/23 1 1 3 3 3 3 3 3 3 3 3 3 3 3
2371 19/02/23 1 1 2 3 3 2 2 2 3 3 3 3 3 3
23/02/23 2 1 2 3 3 3 3 3 3 3 3 3 3 3
23/02/23 2 2 3 3 2 3 3 3 3 3 3 3 3 3
2378 19/02/23 1 1 3 3 3 3 3 3 3 3 3 3 3 3
23/02/23 1 1 1 2 4 4 4 4 4 3 3 3 3 4
24/02/23 1 1 2 9 4 3 3 3 3 3 3 3 3 3
24/02/23 2 2 2 2 4 3 3 3 3 3 3 3 3 4
2367 18/02/23 1 1 3 3 4 3 3 3 3 3 3 3 3 4
2353 17/02/23 1 1 3 3 3 3 3 3 3 3 3 3 3 3
2354 17/02/23 1 1 3 9 4 3 3 3 3 3 3 3 3 3
2352 17/02/23 1 1 2 2 4 3 3 3 3 3 3 3 3 3
2351 17/02/23 1 2 4 2 3 3 3 3 3 3 3 3 3 3
BW 24/02/23 1 1 4 1 2 3 3 3 2 3 3 2 3 3
KF 20/02/23 2 1 5 3 3 3 3 3 3 3 3 3 3 3
AC 23/02/23 1 1 4 3 3 3 3 2 3 3 3 3 2 3
TS 19/02/23 1 1 6 9 3 2 3 2 3 2 3 2 2 3
TM 20/02/23 2 2 5 2 3 3 3 3 3 3 3 3 3 3
KF 21/02/23 1 2 2 1 3 2 3 3 3 3 3 3 3 3
AR 21/02/23 1 1 5 9 3 3 3 3 3 3 3 2 3 3
TB 23/02/23 1 2 1 9 2 3 2 3 3 3 3 3 3 3
TA 22/02/23 1 1 5 9 2 3 3 3 3 2 3 3 3 3
SA 23/02/23 1 2 6 3 3 3 3 3 3 3 3 3 3 3
AOE 21/02/23 2 1 4 9 3 3 3 3 3 3 3 3 2 3
MJ 24/02/23 1 2 3 1 2 3 3 3 3 2 3 3 3 3
TM 18/02/23 1 2 3 9 3 2 3 3 3 3 3 3 3 3
MO 24/02/23 1 1 4 2 2 3 3 2 3 2 3 3 3 3
TH 19/02/23 1 2 2 9 3 3 3 3 3 3 3 3 3 3
TS 22/02/23 1 1 2 9 3 3 3 3 3 2 3 3 3 3
AE 24/02/23 1 1 3 1 4 3 3 3 3 3 3 3 3 3
2350 17/2/231 1 2 3 3 3 3 3 3 3 3 3 3 3 3
Q15 Q16 Q17 Q18 Comments
3 3 3 3
3 3 3 3 Provision of some essential items like gloves
3 3 3 3 provision of some gloves and medicines
3 1 3 3 improve the patients waiting time
3 2 3 3
3 2 3 3
3 3 3 3
3 1 3 3 Avail all drugs
3 1 3 3
3 2 3 3
3 2 3 3
3 3 3 4
3 3 3 4
4 1 3 3
3 2 3 3
3 2 3 4 Waiting time for consultation long
3 3 3 3 the hospital environment good
3 2 3 3 availl drugs in the hospital
3 3 3 3
3 2 3 3
3 1 3 3
3 2 4 3 delay to be seen by doctors
3 1 3 3 supervision of health workers to see how they work
2 2 4 3 laboratory also delays
3 1 4 3 waiting long for clinicians
2 1 3 3 a wholeday is spent in the hospital just to see a doctor
3 2 4 3 some patients come late and are worked on first
3 3 3 3 Cleaning is done earlywhich disturbs patients
3 2 3 3
3 3 4 3
3 2 3 3
3 3 3 3 some health workers not polite
3 3 3 3
3 2 3 4
3 2 4 3
3 3 4 3
3 3 3 43
3 2 4 3 increase on beds for labouring mothers
2 2 3 3
3 2 3 3
3 2 3 3 Increase the number of beds on mat ward
4 3 4 4
3 2 3 3
3 3 4 3
3 3 4 3
2 2 3 3 healtheducation to all patients of toilet use
3 3 3 3 language barrier between staff and patients
3 3 3 3 provide a resting place for labouring mothers
3 3 3 3
3 3 3 3
3 2 3 3
3 3 4 4
2 2 4 4 PROVIDE MORE BEDS FOR POSTNATAL MOTHERS
2 2 3 3
3 3 3 3
3 2 3 3
3 2 3 3
3 3 3 3
3 3 3 3
3 2 3 3
3 3 3 3 To provide more matresses for those who sleep on the floor
3 3 3 3
2 3 3 3
3 3 3 3
2 2 2 2
3 2 3 3 some health workers are good others not good
3 2 3 3
3 3 3 3 staff have improved compared with the last time I was here
3 2 3 3
3 3 3 3 Nurses should talk well
3 3 3 3 services should be quicker
3 3 3 3 Good services
2 3 3 3
2 2 3 3 long waiting time
3 3 3 3 fairly good services
2 2 3 3
4 3 3 3 Appreciates services
3 2 3 3
3 2 3 3
2 2 3 3
HOSPITAL PATIENT EXPERIENCE AND SATISFACTION SURVEY Patient's ID:

Date of Interview:

Hello. The hospital is conducting a survey for improvement of health services. We would like to ask of you to participate in the
survey by telling us how you feel about the services that you received during your admission at this hospital. The information
that you will give will be kept strictly confidential and used purely for improving services. This information will not be used
against you in any way or interfere with the care you will receive in the future. Participation in this survey is completely
voluntary. We hope that you will participate since your views are very important.
Instruction to interviewer: Please tick answers of respondents in the box.
I. ABOUT RESPONDENTS
1. Patient or Caretaker
1 Patient 2 Caretaker
2. Sex
1 Female 2 Male
3. Age (years)
1 Less than 20 4 40-49
2 20-29 5 50-59
3 30-39 6 60 or more
4. Department where the client is admitted
1 Medical 2 Surgical
3 OBGY 4 Orthopedic
9 Other

II. CARE FROM NURSES

Instruction to interviewer: Show the attached list of emojis (pictograms) for each

Very poor

Excellent
question and ask the respondent to point to which one applies.

Good
Poor
😖: Very poor (scored 1)
😞: Poor (scored 2)
🙂: Good (scored 3)
😄: Excellent (scored 4) 😖 😞 🙂 😄
1 2 3 4
5. Treatment with kindness and respect q q q q
6. Provision of education about medical tests and procedures q q q q
7. Listening carefully to you q q q q
8. Attitude towards you q q q q
9. Your overall satisfaction with nursing care q q q q

III. CARE FROM CLINICIANS

Instruction to interviewer: Show the attached list of emojis (pictograms) for each
Very poor

Excellent

question and ask the respondent to point to which one applies.

Good
Poor

😖: Very poor (scored 1)

😞: Poor (scored 2)
🙂: Good (scored 3)
😄: Excellent (scored 4) 😖 😞 🙂 😄
1 2 3 4
10. Provision of information on diagnosis, plan of care, tests and procedures q q q q
11. Listening carefully to you q q q q
12. Attitude towards you q q q q
13. Your overall satisfaction with clinician's care q q q q

IV. HOSPITAL ENVIRONMENT AND EXPERIENCE

Instruction to interviewer: Show the attached list of emojis (pictograms) for each
Very poor

Excellent

question and ask the respondent to point to which one applies.

Good
Poor

😖: Very poor (scored 1)

😞: Poor (scored 2)
🙂: Good (scored 3)
😄: Excellent (scored 4)

5
Instruction to interviewer: Show the attached list of emojis (pictograms) for each
question and ask the respondent to point to which one applies.
😖: Very poor (scored 1)
😞: Poor (scored 2)
🙂: Good (scored 3)
😄: Excellent (scored 4) 😖 😞 🙂 😄
1 2 3 4
14. General cleanliness of the wards and toilets q q q q
Extent of how clearly you understand the explanations for the medicines given to
15. q q q q
you (use, side effects, etc.)
16. The time taken waiting for consultation and treatment q q q q
17. Your overall satisfaction with hospital environment and experience q q q q

V. YOUR OVERALL SATISFACTION WITH THE HOSPITAL

Instruction to interviewer: Show the attached list of emojis (pictograms) for each

Very poor

Excellent
question and ask the respondent to point to which one applies.

Good
Poor
😖: Very poor (scored 1)
😞: Poor (scored 2)
🙂: Good (scored 3)
😄: Excellent (scored 4) 😖 😞 🙂 😄
1 2 3 4
18. Your overall satisfaction with hospital q q q q

VI. YOUR COMMENTS

Please tell us if you have any ideas of further improvement of health services provided in this hospital.

THANK YOU VERY MUCH FOR YOUR KIND COOPERATION.