A medication satisfaction questionnaire is a programmed survey which is being fetched in front of the patients to rate their satisfaction level of medication procedures. By collecting the feedback of patients, a medical institution can evaluate the proficiency level of their doctors and the current status of their overall medical facilities. In the other words, such a questionnaire proves highly beneficial for the medical organizations to improve their treatment and infrastructure.
Sample Medication Satisfaction Questionnaire:
Name of the patient: _____________________
Type of treatment: ______________________
Name of the doctor: _____________________
Q1. Kindly specify the category of your disease for which you are under medication:
- Others, _______________
Q2. Has the doctor educated you about the symptoms and causes of your disease before recommending you for medication?
- Yes. Absolutely
Q3. Please write the name of the medicines you are taking for curing the above mentioned disease?
Q4. Are you facing any allergic sensation with these drugs?
- If yes, please write the about it: _______________
Q5. Has the doctor ever changed your medicines during the treatment?
- Yes. Many times
- Not at all
Q6. How often do you visit this hospital for regular check- ups?
- Once in a week
- Once in ten days
- Once in fifteen days
- Once in a month
Q7. Do you feel satisfied with the behaviour of the concerned doctor and the medical staff?
- Somewhat satisfied
Q8. How do you rate our overall facilities of the medication department?
- Very good
- Not satisfactory
Q9. Are you feeling satisfied with the overall medication system?
Q10. Would you like to suggest us something to improve our mediation system and the facilities?
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