Patient Rights Survey
Answers marked with a * are required.
1.
Patient Rights Survey
This questionnaire based survey is aimed at understanding how patient rights are protected at some of the private hospitals in Pune. This questionnaire is designed to be a simple feedback and should not take more than 5 minutes to complete.
* Disclaimer- This survey is designed to get information about the status of observance of patient’s rights in private hospitals in Pune city and does not promise any kind of patient’s grievance redressal.
** If someone has a more specific concern regarding patient rights abuse, they can look into the grievance expression forum (patientrightsindia.blogspot.com) and share their experience.
1.
Please enter your name
*
2.
Are you filling up this survey as your own experience or on behalf of somebody else?
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For Myself
On behalf of another person
3.
Your contact e-mail ads
4.
In which of the following hospitals have you or your relative received treatment in the past year?
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Deenanath Mangeshkar Hospital And Research Center
Deendayal Memorial Hospital
Hardikar Hospital
Inlaks And Budhrani Hospital
Jehangir Hospital And Medical Centre
K E M Hospital
Krishna General Hospital
N.M.Wadia Institute of Cardiology
Noble Hospital
Poona Hospital And Research Centre
Ratna Memorial Hospital
Ruby Hall Clinic
Sancheti Hospital
Sahyadri Hospital, Deccan, Karve Road
Sahyadri Hospital, Kothrud
Surya Hospital
Sane Guruji Hospital, Hadapsar
Other (Please Specify)
Other (Please Specify)
5.
Please provide the name of the patient and date of admission
(
Patient identity will be kept confidential. However information gathered from this survey will be used to improve observance of patient’s rights in hospitals from Pune city. )
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Name of Patient
Date of Admission
Duration of Admission
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