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survey-print.pdf
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Author: Nadia Ali, M.D. , M.B;B.S

Providing written or printed health information to hospitalized patients.

Questionnaire for Residents, Interns and Nurses

 Check only one response for each question

 1. How often have your patients or their families asked you for printed health information such as pamphlets, to know about their medical condition?

 

Never                                   ___________

 

Occasionally                        ___________

 

Sometimes                           ___________

 

Often                                   ___________

 

Always                                ___________

 

2.  How often is printed health information about chronic diseases such as hypertension, heart attack and stroke readily available on the floors?

 

Never                                   ___________

 

Occasionally                        ___________

 

Sometimes                           ___________

 

Often                                   ___________

 

Always                                ___________


3. How often do you get a chance to provide health information in the form of printed material or pamphlets to hospitalized patients or their families?
 


Never                                   ___________

 

Occasionally                        ___________

 

Sometimes                           ___________

 

Often                                   ___________

 

Always                                ___________



How strongly do you agree with the following statement?


4.  Most written health material or health pamphlets are too difficult for patients to understand.

 
Strongly Agree                    ____________

 

Agree                                   ____________

 

Neither agree nor disagree   ____________

 

Disagree                               ____________

 

Strongly disagree                 ____________


Relevance of the survey questions to the topic.

Question 1



Question 2


Question 3


Question 4


This Question addresses the patient factors contributing to inability of patients to obtain printed or written health information about their medical condition.

This question addresses the availability of printed resources for patient education on the medicine floors.

This Question pertains to the practices of the residents, interns and nurses with regards to providing written health information to patients.

This question assesses the knowledge of the residents, interns and nurses related to the comprehension of the available written material by the patients.