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Sanitation Questionnaire Review: Patients Mobile App

The Sanitation Questionnaire Review: Patients mobile app is an evaluation of a hospital's sanitary conditions. This app is to be completed by the patient. Using a mobile device makes it easy for patients to write honest answers anonymously. Like all GoCanvas apps this app can easily be customized and edited if you wish to add or delete questions. You can customize an app from the GoCanvas Application Store and the altered app remains only in your account unless you of course you would like to share it.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Sanitation Questionnaire Review: Patients Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico multiline

    Q-1 Do you think that the sanitation condition of the hospital is adequate?

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    Q-2 If no, which areas need improvement?

  • Ico multiline

    Q-3 Are there enough dustbins in the hospital?

  • Ico multiline

    Q-4 Are the dustbin emptied time to time?

  • Ico multiline

    Q-5 Are the urine pots, bed pans and sputum pots cleaned as and when required?

  • Ico multiline

    Q-6 Is the behaviour of safai sewaks good?

  • Ico multiline

    Q-7 Are the lawns/sitting area for attendants well maintained?

  • Ico multiline

    Q-8 Are there enough number of toilets for patients and attendants?

  • Ico multiline

    Q-9 Are these toilets well maintained and clean?

  • Ico multiline

    Q-10 Do you find the safai sewaks wearing proper uniform and protective gear?

  • Ico multiline

    Q-11 Have you seen display boards telling about hazards of Bio-medical waste ?

  • Ico multiline

    Q-12 Do you find proper signage for public toilets?

  • Ico multiline

    Q-13 If you have a complaint, do you know whom to contact?

  • Ico multiline

    Q-14 Was your complaint addressed?

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    Q-15 Are you satisfied with the action taken?

  • Ico multiline

    Q-16 Would you come again to the hospital?

  • Ico textbox

    Name of the hospital

  • ...and More!

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