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  • Questionnaire Pour Check

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    wdjabiam
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    This document is a questionnaire in French for checking up on an incubator at a hospital. It contains 9 questions for the neonatal unit manager about any previous issues with the incubator, attempts to resolve them, desired functionality, understanding of use, and satisfaction with how well the incubator meets needs. Feedback is requested on the number of babies cared for, length of use, and a summary report.

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    QUESTIONNAIRE POUR CHECK (1)

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    This document is a questionnaire in French for checking up on an incubator at a hospital. It contains 9 questions for the neonatal unit manager about any previous issues with the incubator, attempts to resolve them, desired functionality, understanding of use, and satisfaction with how well the incubator meets needs. Feedback is requested on the number of babies cared for, length of use, and a summary report.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views2 pages

    Questionnaire Pour Check

    Uploaded by

    wdjabiam
    This document is a questionnaire in French for checking up on an incubator at a hospital. It contains 9 questions for the neonatal unit manager about any previous issues with the incubator, attempts to resolve them, desired functionality, understanding of use, and satisfaction with how well the incubator meets needs. Feedback is requested on the number of babies cared for, length of use, and a summary report.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    QUESTIONNAIRE POUR CHECK-UP d’une machine

    Nom de l’hôpital…………………………………………………

    Ville……………………………………………

    Date………………………………….

    N° de tel………………………………..

    Nom du responsable néonatologie…………………………………………….

    1-avez-vous déjà rencontré un problème ? OUI /NON si oui


    décrire
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    2-Avez-vous essayé de le résoudre ? OUI ou NON

    si oui décrire
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    3-Avez-vous eu un retour ? OUI ou NON

    4- Vous utilisez la couveuse depuis combien de temps ?


    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    5- Avez-vous des incompréhensions concernant la couveuse ?


    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    6-Quesque vous souhaitez avoir comme fonctionnalité de la couveuse ?


    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    7- Comment vous sentiriez vous si on vous enlève la couveuse ?


    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    8- combien de bébé avez-vous déjà mis dans nos couveuses ?


    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..
    9-La couveuse répond -elle réellement à vos besoins ?
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

    Rapport de la visite par AUI


    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………
    ……………………………..

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