Hospitals conduct regular feedbacks to know whether their patients are satisfied with the services they provide. Such feedbacks help them to know which areas need improvement and also aid them to make a plan to improve the quality of their services. Earlier such surveys were subjective. However, subjective surveys are not always helpful as not many people like to provide their opinions in detail. Hence, such surveys are objective in nature. For ease of assessing the collected data, most hospitals use OMR survey forms.
Here, we have presented feedback of hospital services given by in-patients read using OMR based feedback form.
The sample survey form provided here is to take the feedback of the in patients, i.e. those patients who were admitted at the hospital for a few days.
The form starts with space for the details including patient name, consultant name, IP no., bed no., date of admission, date of discharge, contact number, etc.
The survey is divided into nine categories specific to each department, like front office, nursing, housekeeping, doctors, floor management/patient care manager, maintenance, dietary, discharge and billing. Each category has 3-4 sub sections.
The patient has to rate each category or department as per the work done by the staff, on a range from one to five, where is 1 is the best and 5 is the worst rating.
Besides, patients are also encouraged to provide information about the experience at the hospital. There are also special fields for things like any inconvenience faced and any suggestions to improve our hospital. Below these are some fields for collecting patient’s contact details.