Questionnaire

Questionnaire on the study of patient satisfaction with the provision of medical care in the Scientific and Clinical Center of Cardiac Surgery and Transplantation LLP (hereinafter referred to as the Center)

We ask you to answer the questionnaire questions as frankly as possible, All your comments and suggestions will be taken into account in organizing the work of the Center and using it to improve the provision of medical care

1. How long did you wait for the inspection?

Up to 10 minutes Up to 30 min Up to 1 hour More than 1 hour More than 2 hours Waiting time for an examination in the emergency department Waiting time for an initial examination in your department

2. When receiving a Contract for the provision of medical care concluded between a patient and a medical organization (hereinafter referred to as the Contract), did you have an explanation of the Contract, as well as an explanation of your rights and obligations in the emergency department?

only orally independently acquainted verbally and visually no training was conducted

3. Did the staff of the reception department teach you the functions of the identification bracelet?

only orally independently acquainted orally and visually no training was conducted

4. Was the training conducted by the medical staff of the Center in a language that you/the caregiver understood?

Yes No

5. During all medical procedures (injections, diagnostic tests, etc.), medical personnel must identify the patient, i.e. clarify the patient's full name and date of birth and verify the data indicated on the identification bracelets. Is this procedure carried out?

Yes No only clarify the patient's data only checking patient data not always not all employees

6. How would you rate the work of the doctors of our Center, (where 5 is very high and 1 is very low)?

professional skills	1 point	2 points	3 points	4 points	5 points
completeness of the explanation of the treatment and care provided	1 point	2 points	3 points	4 points	5 points
ethics in communication	1 point	2 points	3 points	4 points	5 points
sincere desire to help the patient	1 point	2 points	3 points	4 points	5 points
explanations/recommendations for discharge	1 point	2 points	3 points	4 points	5 points
interest in the results	1 point	2 points	3 points	4 points	5 points

7. How would you rate the work of a nursing specialist (hereinafter referred to as SSD) of our Center, (where 5 is very high and 1 is very low)?

professional skills	1 point	2 points	3 points	4 points	5 points
completeness of the explanation of the manipulations carried out	1 point	2 points	3 points	4 points	5 points
compliance with ethics in communication	1 point	2 points	3 points	4 points	5 points
sincere desire to help the patient	1 point	2 points	3 points	4 points	5 points
training in caring for a caregiver	1 point	2 points	3 points	4 points	5 points

8. During my stay in the hospital, I clearly understood(a) why do I need to take each of the medications?

Yes No

9. The hospital staff explained the reasons for the move so that you could understand them?

yes, completely yes, to some extent No

10. Did you have to pay for services directly to medical personnel, bypassing the cash register? If YES, please specify the full name of the employee and the service:

Yes No

11. Have you ever had to buy medicines prescribed by the Society's doctor? If YES, please indicate the purchased medications: Exception: patients on a fee basis and medications not included in the list of guaranteed volume of free medical care (quotas)/compulsory social health insurance.

Yes No

QUALITY ASSESSMENT

12. Comfort of staying in the Center (convenience and safety, equipment of wards, orientation in the Center, availability of visual information (brochures, posters), etc.):

fully met expectations generally in line with expectations much lower than expected I find it difficult to answer

13. When you expressed a desire to view your medical record, were you given access?

Yes not required No

14. How much information about your condition or treatment did you receive in the department of the Center?

not enough the right amount too much didn't give any information about my treatment or condition don't know/can't remember

15. During this hospital stay, how often did the medical staff give you clear explanations?

rarely often always never

16.During this stay in the hospital, after you pressed the call button, for how long were you treated?

up to 10 minutes up to 30 min until 1 o'clock more than 1 hour I have never pressed the call button

17. During this stay in the hospital, when assigning the necessary care, did the staff take into account your preferences, the wishes of the family or caregivers?

Yes No

18. In general, did you feel that you were treated with respect and dignity while you were in the hospital?

yes always yes, sometimes No

19. Are you satisfied with the results of medical care in general, if not, then specify what exactly?

yes, completely No

20. Would you recommend this medical organization to your friends and relatives?

Yes No I don't know yet

INFECTION CONTROL

21. How do you assess compliance with safety rules, sanitary standards by medical personnel during procedures (hand treatment before and after the procedure, the use of disposable gloves, medical devices)?

Very high High Medium Low Very low

22. Were you introduced to the rules of hand hygiene upon admission to the department?

Yes No

23. Hospital staff always treated their hands with antiseptic before contacting you?

Yes No

24. Food distributor:

always treated hands antiseptic before serving food I was always in a bathrobe and a hat the above is incorrect

25. Was the ward cleaned 2 times a day every day?

Yes No

26. Are you satisfied with the quality of the cleaning done in the ward?

Yes No

27. Did you change the bed linen as it became dirty?

Yes No

28. How would you rate the cleanliness and serviceability of plumbing in the Center?

fully met expectations generally in line with expectations much lower than expected I find it difficult to answer

NUTRITION

29. What, in your opinion, are the shortcomings in the work of providing food? (you can choose one item from the presented ones)

There are no disadvantages Low service culture (more details) Food temperature (more details) Insufficient variety of dishes (more details)

30. Rate the quality of dishes (taste qualities of food), where 5 is very high and 1 is very low?

1 point 2 points 3 points 4 points 5 points

31. How would you rate the condition and cleanliness of dishes /appliances?

1 point 2 points 3 points 4 points 5 points

32. How would you estimate the amount of food in the Center?

1 point 2 points 3 points 4 points 5 points

33. Do you have any preferences for

vegetarian food raw food Other (write):

34. What gender are you?

Male Female

Call-center

Questionnaire

1. How long did you wait for the inspection?

2. When receiving a Contract for the provision of medical care concluded between a patient and a medical organization (hereinafter referred to as the Contract), did you have an explanation of the Contract, as well as an explanation of your rights and obligations in the emergency department?

3. Did the staff of the reception department teach you the functions of the identification bracelet?

4. Was the training conducted by the medical staff of the Center in a language that you/the caregiver understood?

5. During all medical procedures (injections, diagnostic tests, etc.), medical personnel must identify the patient, i.e. clarify the patient's full name and date of birth and verify the data indicated on the identification bracelets. Is this procedure carried out?

6. How would you rate the work of the doctors of our Center, (where 5 is very high and 1 is very low)?

7. How would you rate the work of a nursing specialist (hereinafter referred to as SSD) of our Center, (where 5 is very high and 1 is very low)?

8. During my stay in the hospital, I clearly understood(a) why do I need to take each of the medications?

9. The hospital staff explained the reasons for the move so that you could understand them?

10. Did you have to pay for services directly to medical personnel, bypassing the cash register? If YES, please specify the full name of the employee and the service:

11. Have you ever had to buy medicines prescribed by the Society's doctor? If YES, please indicate the purchased medications: Exception: patients on a fee basis and medications not included in the list of guaranteed volume of free medical care (quotas)/compulsory social health insurance.

12. Comfort of staying in the Center (convenience and safety, equipment of wards, orientation in the Center, availability of visual information (brochures, posters), etc.):

13. When you expressed a desire to view your medical record, were you given access?

14. How much information about your condition or treatment did you receive in the department of the Center?

15. During this hospital stay, how often did the medical staff give you clear explanations?

16.During this stay in the hospital, after you pressed the call button, for how long were you treated?

17. During this stay in the hospital, when assigning the necessary care, did the staff take into account your preferences, the wishes of the family or caregivers?

18. In general, did you feel that you were treated with respect and dignity while you were in the hospital?

19. Are you satisfied with the results of medical care in general, if not, then specify what exactly?

20. Would you recommend this medical organization to your friends and relatives?

21. How do you assess compliance with safety rules, sanitary standards by medical personnel during procedures (hand treatment before and after the procedure, the use of disposable gloves, medical devices)?

22. Were you introduced to the rules of hand hygiene upon admission to the department?

23. Hospital staff always treated their hands with antiseptic before contacting you?

24. Food distributor:

25. Was the ward cleaned 2 times a day every day?

26. Are you satisfied with the quality of the cleaning done in the ward?

27. Did you change the bed linen as it became dirty?

28. How would you rate the cleanliness and serviceability of plumbing in the Center?

29. What, in your opinion, are the shortcomings in the work of providing food? (you can choose one item from the presented ones)

30. Rate the quality of dishes (taste qualities of food), where 5 is very high and 1 is very low?

31. How would you rate the condition and cleanliness of dishes /appliances?

32. How would you estimate the amount of food in the Center?

33. Do you have any preferences for

34. What gender are you?

35. Full name (optional)

36. Email (optional)

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