Domains | Sample questions | Answer categories |
---|---|---|
Prompt Attention | How would you rate the length of time spent at health care units waiting for consultation/treatment reasonable? | 1. Never 2. Only sometimes 3. Usually 4. Always |
Dignity/ respect | How often did doctors, nurses, or other health care providers treat you with respect? | |
Communication | How would you rate the health care provider’s explanation of things in a way you could understand? | |
Autonomy | How often did health care providers involve you in deciding about the care, treatment, or test? | |
Confidentiality of information | How often talked with your health care provider done privately so other people who you did not want to hear could not overhear what was said? | |
Choice | How often health care providers did you have a choice between health care providers in the health care unit? | |
Quality of surroundings/ amenities | How would you rate the basic quality of the waiting room, for example, space, sitting, and fresh air? | 1. Very poor 2. poor 3. good 4. very good |