Professional Documents
Culture Documents
A: PROFIL / Profile
1. Jantina / Sex
Lelaki / Male
Perempuan / Female
Cina / Chinese
India / Indian
Lain-lain / Others
4. Taraf Perkahwinan / Marital Status:
Berkahwin / Married
Bujang / Single
6.
7.
8.
Swasta / Private
Pelajar / Student
Pesara / Retiree
Surirumah / Housewife
Lain-lain / Others
(sila nyatakan/ please specify:_______________)
Berapa kali anda datang ke Klinik ini / Number of visit to this clinic:
Pertama kali / First time
Berapa lama anda menunggu di Farmasi Pesakit Luar sebelum menerima ubat / How long have you waited in the
Out-Patient Pharmacy before receiving medication:
______________ (jam/ hours) ________________ (minit/ minutes)
9.
Apakah masalah utama yang anda hadapi di Farmasi Pesakit Luar Hospital Kuala Lumpur ini ?
What is your main problem that you encounter at this Pharmacy Department of Hospital Kuala Lumpur?
B/ SOALAN MAKLUMBALAS
(BAHAGIAN I Harapan anda terhadap perkhidmatan Farmasi Pesakit Luar Hospital Kuala Lumpur)
Feedback Questionnaires
(Part I- Your expectation with services provided by the Out-Patient Pharmacy of Hospital Kuala Lumpur)
Arahan: Sila tandakan [ / ] pada pilihan anda di ruang yang berkaitan berpandukan skala berikut.
Instruction: Please tick [ / ] for your choice answer in the space provided according to the scale below.
Sangat Tidak
Setuju
(Strongly Disagree)
1.
Sangat Setuju
(Strongly
Agree)
1
Saya harap Farmasi Pesakit Luar Hospital Kuala Lumpur akan menggunakan
peralatan terkini yang bersesuaian
I expect the Out-Patient Pharmacy of Hospital Kuala Lumpur to use appropriate
2.
up-to-date equipment.
Saya harap kemudahan fizikal
kelihatan menarik.
I expect the Out-Patient Pharmacy of Hospital Kuala Lumpur physical facilities
to be visually appealing
3.
Saya harap
prompt service.
6.
bersopan santun.
1
I expect
9.
12.
1
Sangat Tidak
Setuju
(Strongly Disagree)
5
Sangat Setuju
(Strongly
Agree)
1
1.
Saya dapati Farmasi Pesakit Luar Hospital Kuala Lumpur menggunakan peralatan terkini
yang bersesuaian.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur uses appropriate up-to-date
equipment.
2.
Saya dapati kemudahan fizikal Farmasi Pesakit Luar Hospital Kuala Lumpur kelihatan
menarik.
I find the physical facilities in the Out-Patient Pharmacy of Hospital Kuala Lumpur visually
appealing
3.
Saya dapati Farmasi Pesakit Luar Hospital Kuala Lumpur memberi perkhidmatan pada
masa yang dijanjikan.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur provides their services at the time
they promise to do so.
4.
Saya dapati Farmasi Pesakit Luar Hospital Kuala Lumpur sentiasa melaksanakan
perkhidmatan dengan betul.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur perform the services right every
time
5.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur memberi perkhidmatan
yang cepat.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff gives prompt service.
6.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur sedia membantu apabila
diperlukan.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff willing to help patient when
7.
needed.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur menjalankan tugas
mereka dengan cekap
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff performs their job
competently
8.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur sentiasa bersopan
santun.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff is always polite
9.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur sentiasa memahami
keperluan pesakit.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff always understands patients
needs.
10
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur memberi perhatian
11
attention.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur memberi perkhidmatan
yang berkesan.
12
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff provides effective treatment.
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur bekerjasama diantara
13
dengan berdisiplin.
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff displays good work
14
discipline
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur memberi penerangan
yang jelas.
15
I find the Out-Patient Pharmacy of Hospital Kuala Lumpur staff gives clear information
Saya dapati anggota Farmasi Pesakit Luar Hospital Kuala Lumpur menjalankan tugas
16
I find the toilet at the Out-Patient Pharmacy of Hospital Kuala Lumpur is clean.
17
Saya dapati waktu menunggu sebelum menerima perkhidmatan di Farmasi Pesakit Luar
18.
Secara keseluruhannya, tahap kepuasan saya terhadap perkhidmatan yang diberikan di Farmasi Pesakit Luar
Hospital Kuala Lumpur adalah / Overall, the level of satisfaction towards services provided by the Out-Patient
Pharmacy of Hospital Kuala Lumpur is:
Sangat puas hati / Very satisfied