Dashboard

Respondedt Name:

1. Please tell us your gender *
Male    Female    Other

2. Respondents Age * Under 24 years Under 35 years 35 - 50 years 50 years and above

3. Which sub county do you live? * Kisauni Nyali Likoni Mvita Changamwe Jomvu Other

4. Health Facility visited in Mombasa County * Kongowea Dispensary Mlaleo Health Centre Junda Dispensary Shimo La Tewa - Annex Shimo La Tewa - Main Ziwa La Ngombe Bamburi Dispensary Kisauni Dispensary (Frere Town) Tudor Sub county hospital Port Reitz Hospital Mrima Hospital Likoni Hospital Maweni Dispensary Other

5. Do you agree with the statement: "I am satisfied with the services offered by the health facility"? *
Strongly agree   
Agree   
Other

6. Which services did you seek? *
In patient   
Out patient   
Other

7. If you sought health services, how would you rate the way they served you? *
Excellent   
Good   
Other

8. How long did you wait to be served from the time you entered the facility to the time you left the facility? *
Less than 1 hour   
More than 1 hour   
Other

9. Did you receive friendly service from the health personnel? *
Yes    No    Other

10. Were you informed of your illness and treatment being given? *
Yes    No    Other

11. Did you get all the drugs you needed? *
Yes    No    Other

12. Was the information that you gave to the health service provider treated with confidentiality? *
Yes    No    Other

13. Was there availability of water *
Yes    No    Other

14. Was there garbage disposal *
Yes    No    Other

15. Was there cleanliness of toilets *
Yes    No    Other

16. What improvements do you suggest for this health facility? *