🏥 St. Raphael Medical Center, Inc.

Mabalacat City, Pampanga  |  CONFIDENTIAL

📋 In-Patient Survey

← Back to Survey Selection
Instructions / Panuto: Kindly place a check (✓) on your choice based on your experience.
Pakilagyan po ng tsek (✓) ang inyong piniling kasagutan ayon sa inyong karanasan sa SRMCI.
Rating Scale:   5 – Excellent (Napakahusay)   4 – Very Good (Mas Mainam)   3 – Good (Mainam)   2 – Fair (Pangkaraniwan)   1 – Poor (Kailangan Pagbutihin)
I. Introduction to SRMCI
Is this your first confinement at SRMCI? *
Ito po ba ang una ninyong pagka-confine dito sa SRMCI?
You selected SRMCI because it was: *
Pinili nyo po ang SRMCI dahil sa:
II. Attending Physician
Name of attending physician (DR./DRA.): *
Pangalan ng inyong manggagamot:
III-A. During the Admission Process
The medical personnel who attended me at the ER were competent and compassionate. *
Ang mga tauhan sa Emergency Room ay mahuhusay at may malasakit sa kapwa.
The person who handled my admission was polite, friendly and explained things clearly. *
Ang tao sa Admission ay magalang, mabait at mahusay magpaliwanag.
The admission process was facilitated within a reasonable period of time. *
Nagawa ang mga proseso ng Admission sa loob ng sapat na oras.
The medical attendant and nurse who transported me to my room were polite and caring. *
Ang mga tauhang naghatid patungo sa aking silid/ward ay magagalang at mapagkalinga.
III-B. SRMCI Staff During Confinement
My attending physician(s) was/were competent, skilled and experienced. *
Ang mga doktor na tumingin sa akin ay may kakayahan, sanay at bihasa.
The attending physician(s) was really kind, caring, and compassionate. *
Ang doktor na tumingin sa akin ay tunay na mabait, mapagkalinga at mahabagin.
The nurses assigned were all skilled, experienced and competent. *
Ang mga nars ay may kakayahan, sanay at bihasa.
The attending nurses were really respectful, kind, caring and compassionate. *
Ang mga nars ay magagalang, mababait, mapagkalinga, at mahabagin.
The nurses were responsive to our calls and immediately attended to our needs. *
Naging maagap sa pagtugon sa tawag at sa oras ng pangangailangan ang mga nars.
The laboratory personnel were really respectful, kind, caring and compassionate. *
Ang mga tauhan sa laboratory ay magagalang, mababait, mapagkalinga at mahabagin.
The ultrasound and radiology personnel were very respectful, kind, and caring. *
Ang mga tauhan sa ultrasound at radiology ay magagalang, mabait at mapagkalinga.
Laboratory test results and radiological interpretations were made available in time for the attending physician to evaluate. *
Ang lahat ng mga resulta ng pagsusuri ng laboratory at radiology ay nagamit ng doktor na wasto sa panahon.
III-C. Other Facilities and Services
The food served was satisfactory (palatable, tasty and clean). *
Ang mga pagkaing inihain ay masarap, malasa at malinis.
The room is clean and regularly cleaned. Waste disposal is timely. *
Ang silid ay malinis at palaging nililinis. Ang mga basura ay agad nakukuha at nililimas.
The room amenities (aircon, TV, telephone and restroom facilities) were functional. *
Ang aircon, telebisyon, telepono, at palikuran ay maayos at nagagamit ng maayos.
The environment within and outside the hospital premises was safe and secured. *
Ang loob at labas na kapaligiran ng Ospital ay ligtas at maayos.
The billing statement was prepared within a reasonable period of time upon notice of patient's discharge. *
Ang bill o bayarin ay nagawa sa loob ng wastong panahon kasunod ng utos sa paglabas sa ospital.
The overall in-patient experience in this hospital was very satisfactory. *
Sa kabuuan, ang pangkahalatang karanasan sa pagka-confine sa SRMCI ay lubos na kasiya-siya.
III-D. Comments and Suggestions
Comments and Suggestions (Mga Puna at mga mungkaho): *
III-E. Staff Commendation
Name(s) of hospital staff you wish to commend for high quality services: *
Mga tauhan ng SRMCI na nais ninyong purihin:
📋 Patient / Informant Information (Mga Pagkakakilanlan)