Nurse Satisfaction Questionnaire


A nurse satisfaction questionnaire is significant in the manner that it helps to gather opinions of the client who has been recently served by a nurse. The concerned person, by taking these questions, expresses his/her views about the quality of the service and recommendations to better it. This questionnaire is particularly beneficial to assess the overall standard of the support provided by the nurse in appropriate circumstances.

Nurse satisfaction questionnaire sample:

Full name: _______________

Age: _______________

Contact phone no: _______________

Email: ______________

Contact address: ____________

 

Q1. What was the ailment for which you had been served by the nurse?

__________________

Q2. Was the nurse one of the staffs of the medical center/hospital or a private hire?

  1. Hospital/medical center staff
  2. Private hire

Q3. Did the nurse serve you daily?

  1. Yes
  2. No

Q4. Was the wage rate of the nurse fixed on an hourly or a daily basis?

  1. Hourly wage
  2. Daily wage

Q5. Did the nurse stay awake at night to take temperature/give medicine?

  1. Yes
  2. No

Q6. Did you ever feel like changing the nurse?

  1. Yes
  2. No

Q7. Please tell about the particular activities that the nurse performed for you.

____________________

Q8. On a scale of 1 to 5, how much will you mark the nurse’s behavior with you and with those who came to meet you?

  1. 1 (poor)
  2. 2(mediocre)
  3. 3(average)
  4. 4(good)
  5. 5(very good)

Q9. On a scale of 1 to 5, how much will you mark the nurse’s service?

  1. 1(poor)
  2. 2(mediocre)
  3. 3(average)
  4. 4(good)
  5. 5(very good)

Category: Satisfaction Questionnaire

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