You are on page 1of 1

QUESTIONNAIRE FOR HEALTH CARE PRO0CESSIONAL IN GOMBE

MATERNITY HOSPITAL
Dear Sir/Madam
I am an undergraduate student sociology department Gombe state university,
currently educating a research on the state of heath care service in Gombe
metropolis.
I am soliciting for your consent to kindly fill in this questionnaire
SECTION A: SOCIO –DEMOGRAPHY CHARACTERISTIC 75 RESPONDENTS
1. AGE:
(a) 20 – 24 years (b) 25 – 29 years (c) 30 – 34 years (d) 35 – 39 years (e) 40 –
and above
2. GENDER: (a) male (b) female
3. EDUCATIONAL QUALIFICATIO: (a) secondary education (b) diploma in
health/nursing (c) HND/B.Sc (d) M.B.B.S/Pharmacy
4. MENTAL STATUS (a) single (b) married (c) divorce (d) separate (e)
widow/widower
5. Years spent in service (a) 1-5 years (b) 6-10 years (c) 11 and above
SECTION B:
MAJOR PROBLEMS HINDERING EFFECTIVE HEALTHCARE SERVICE DELIVERY IN
GOMBE METROPOLIS
6. INADEQUATE PERSONNEL: (a) agree (b) disagree (c) undecided
7. LACK OF DRUGS: (a) agree (b) disagree (c) undecided
8. INADEQUATE FACILITIES: (a) agree (b) disagree (c) undecided
9. UNFRIENDLY APPROACH OF HEALTHCARE PERSONNEL (a) agree (b)
disagree (c) undecided
10.DELAY IN ADMINISTERING HEALTHCARE SERVICE: (a) agree (b) disagree (c)
undecided
11.POOR MEDICAL SERVICE DELIVERY (a) agree (b) disagree (c) undecided
SECTION C: WAYS OF IMPROVING THE STATE OF PRIMARY HEALTHCARE SERVICE
IN GOMBE METROPOLIS
12.In what ways can primary healthcare service be improved in case
metropolis please specify. ________________

You might also like