Measure | Description |
---|---|
Service Quality | Part 1. Please mark a score from 1 to 7 for the following questions on your expectations and perceptions of the quality of the kidney disease screening service, (strongly disagree = 1 to strongly agree = 7). |
 | 1 Did the screening have up-to date equipment? |
 | 2 Are the physical facilities in the screening visually appealing to you? |
 | 3 Did the staff have a nice and neat appearance? |
 | 4 Did the facilities and equipment in the screening correspond to their service? |
 | 5 Did the screening provide its services in a timely manner? |
 | 6 Did the staff have a sincere interest in solving the patients' problems? |
 | 7 When patients had problems, was the staff sympathetic and reassuring? |
 | 8 Did the staff provide services within their promised time? |
 | 9 Did the screening insist on error-free records? |
 | 10 Did the staff tell patients exactly when services would be performed? |
 | 11 Did the staff provide prompt service? |
 | 12 Was the staff always willing to help patients? |
 | 13 Was the staff ever too busy to respond to your request? |
 | 14 Did the staff instill confidence in you? |
 | 15 Did the staff provide a sense of safety to you? |
 | 16 Was the staff courteous? |
 | 17 Did the staff have the knowledge to answer patients' questions? |
 | 18 Did the staff give you individual attention? |
 | 19 Did the screening have hours convenient to your needs? |
 | 20 Did the staff give patients' personal attention? |
 | 21 Did the staff seem to have the patients' best interests at heart? |
 | 22 Did the staff understand the individual needs of the patients? |
Loyalty | Part 2. Please mark a score from 1 to 7 for the following questions on your attitude towards the kidney disease screening service, (strongly disagree = 1 to strongly agree = 7). |
 | 23 Your overall satisfaction and evaluation regarding the screening. |
 | 24 Your willingness to recommend this screening to your friends. |
Demographic Variable | 25 Gender: 1. Female 2. Male |
 | 26 Age: ______ |
 | 27 Job: 1. housekeeper 2. public servant 3. business worker 4. labor worker 5. farmer 6. student 7. service worker 8. other |
 | 28 Highest Educational Degree: 1. primary school 2. junior high 3. senior high 4. college 5. post-graduate |