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A1 - Centre


A2 - Patient Details
Enter
Name of the Patient
Gender
Profession
Residential Address
State
PIN
Tel No.


HiddenGender - HiddenGender


Good___Sir/Madam! My name is __________________ and I’m working with i3RC Insights Pvt. Ltd., an independent market research agency. As a part of our research activities, we speak to various people to collect inputs on various industries. Currently, we would like to obtain your valuable inputs regarding Healthcare sector to generate a list of TOP HOSPITALS/ CLINICS IN INDIA. I would be grateful if you could spare some time to answer a few questions. Your individual responses will be kept confidential. THANK YOU!


SECTION 1: GENERAL


H1 - Please tell me Sir/ Madam, have you/your family member been treated in last 1 year?


H2 - You said that you/ your family have been treated in last 1 year, please name all the ailments you treated in last 1 year?


H3a - Please tell me the Private Hospital/ clinic
Private Hospital/ clinic Government Hospital/ Clinic
Cardiology
Gastroenterology
Neurology
Nephrology
Urology
Oncology
Obstetrics & Gynecology
Pediatrics
Emergency & Trauma
Dental
Orthopedics
Diabetes Care
IVF & Fertility
Cosmetic & Plastic Surgery


H3b - Please share the name of Hospital/ Clinic, where you/your family member got treated?
Enter
Cardiology
Gastroenterology
Neurology
Nephrology
Urology
Oncology
Obstetrics & Gynecology
Pediatrics
Emergency & Trauma
Dental
Orthopedics
Diabetes Care
IVF & Fertility
Cosmetic & Plastic Surgery


We feel you are best person to give us feedback on various Hospitals/ Clinics and the weightage of different parameters on which Hospitals/ Clinics are evaluated, we would like to discuss with you some of the parameters which you think are important while deciding on the Hospitals/ Clinics
WE WOULD LIKE TO DISCUSS WITH YOU SOME OF THE PARAMETERS WHICH YOU THINK ARE IMPORTANT WHILE DECIDING ON THE HOSPITALS/ CLINICS.


Q2a - I have with me a list of parameters which people like you have mentioned that they are important at the time of evaluating a Hospitals/ Clinics. Please have a look at this list and rate all parameters on a 10-point scale where 1=Not at all important & 10 =Critical
Not at all important 2 3 4 5 6 7 8 9 Critical
Quality of treatment –In-patient(Courteous paramedical staff and excellent In patient care)
Team of Consultants(Well trained and qualified panel of Doctors)
Infrastructure(Excellent Infrastructure- Building. All Facilities under one roof- Diagnostic, Blood bank etc.)
Facilities & Public convenience (Ease of getting environment, friendly staff and overall convenience)
Hygiene & Cleanliness(Neat and tidy building. Hygienic environment)
Innovation & research facilities(Good academic facilities and decent innovation)
Value for Money(Treatment at affordable cost and Medical Insurance Facility is also available. Overall value for money)
Overall Brand Legacy(Excellent Health care service. Overall reputation of hospital is good.)


Q3i - Please select the speciality for which you want to ask questions


Best Hospital (City)


Q3a1 - Please look at this card and tell me the names of the top Hospitals/ Clinics on {{Q3i}}  Now I would like to understand your perception about different Hospitals/ Clinics against different attributes. Please rate each one of these Hospitals/ Clinics on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance of that Hospitals/ Clinics on the given parameter. For do not know or cannot say (DK/CS), please enter 99.INTERVIEWER TO ASK TOP 3 HOSPITALS/CLINICS IN HIS CITY.
Name of the Hospital/ Clinics Others Quality of treatment Team of consultants Infrastructure Facilities and Public convenience Hygiene and Cleanliness Innovation and Research Facilities Value for Money Overall Brand Legacy


Best Hospital (India)


Q3a2 - Please look at this card and tell me the names of the top Hospitals/ Clinics on  {{Q3i}}Now I would like to understand your perception about different Hospitals/ Clinics against different attributes. Please rate each one of these Hospitals/ Clinics on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance of that Hospitals/ Clinics on the given parameter. For do not know or cannot say (DK/CS), please enter 99.INTERVIEWER TO ASK TOP 3 HOSPITALS/CLINICS IN ALL INDIA
Name of the Hospital/ Clinics Others Quality of treatment Team of consultants Infrastructure Facilities and Public convenience Hygiene and Cleanliness Innovation and Research Facilities Value for Money Overall Brand Legacy


Q3ii - Please select the speciality for which you want to ask questions


Best Hospital (City)


Q3a3 - Please look at this card and tell me the names of the top Hospitals/ Clinics on  {{Q3ii}}Now I would like to understand your perception about different Hospitals/ Clinics against different attributes. Please rate each one of these Hospitals/ Clinics on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance of that Hospitals/ Clinics on the given parameter. For do not know or cannot say (DK/CS), please enter 99.INTERVIEWER TO ASK TOP 3 HOSPITALS/CLINICS IN HIS CITY.
Name of the Hospital/ Clinics Others Quality of treatment Team of consultants Infrastructure Facilities and Public convenience Hygiene and Cleanliness Innovation and Research Facilities Value for Money Overall Brand Legacy


Best Hospital (India)


Q3a4 - Please look at this card and tell me the names of the top Hospitals/ Clinics on  {{Q3ii}}Now I would like to understand your perception about different Hospitals/ Clinics against different attributes. Please rate each one of these Hospitals/ Clinics on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance of that Hospitals/ Clinics on the given parameter. For do not know or cannot say (DK/CS), please enter 99.INTERVIEWER TO ASK TOP 3 HOSPITALS/CLINICS IN ALL INDIA
Name of the Hospital/ Clinics Others Quality of treatment Team of consultants Infrastructure Facilities and Public convenience Hygiene and Cleanliness Innovation and Research Facilities Value for Money Overall Brand Legacy


Q3iii - Please select the speciality for which you want to ask questions


Best Hospital (City)


Q3a5 - Please look at this card and tell me the names of the top Hospitals/ Clinics on  {{Q3iii}} Now I would like to understand your perception about different Hospitals/ Clinics against different attributes. Please rate each one of these Hospitals/ Clinics on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance of that Hospitals/ Clinics on the given parameter. For do not know or cannot say (DK/CS), please enter 99.INTERVIEWER TO ASK TOP 3 HOSPITALS/CLINICS IN HIS CITY.
Name of the Hospital/ Clinics Others Quality of treatment Team of consultants Infrastructure Facilities and Public convenience Hygiene and Cleanliness Innovation and Research Facilities Value for Money Overall Brand Legacy


Best Hospital (India)


Q3a6 - Please look at this card and tell me the names of the top Hospitals/ Clinics on {{Q3iii}}Now I would like to understand your perception about different Hospitals/ Clinics against different attributes. Please rate each one of these Hospitals/ Clinics on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance of that Hospitals/ Clinics on the given parameter. For do not know or cannot say (DK/CS), please enter 99.INTERVIEWER TO ASK TOP 3 HOSPITALS/CLINICS IN ALL INDIA
Name of the Hospital/ Clinics Others Quality of treatment Team of consultants Infrastructure Facilities and Public convenience Hygiene and Cleanliness Innovation and Research Facilities Value for Money Overall Brand Legacy


Thank you for taking this survey.




 


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