急诊患者就诊体验反馈表
Emergency Department Patient Experience Feedback

尊敬的患者/家属：
为了提升急诊服务质量，我们希望了解您的真实体验。以下问题仅需勾选对应选项，部分问题可填写具体原因或建议。感谢您的支持！
Dear Patient/Family Member:
To improve the quality of emergency services, we would like to learn about your experience. Please select the appropriate options, and for some questions, provide specific reasons or suggestions if applicable. Thank you for your support!
候诊体验
Waiting Experience
1.
您对候诊时间的满意度如何？
How satisfied are you with the waiting time?
1分为很不满意，5分为非常满意。
1 is very dissatisfied and 5 is very satisfied.


2.
在候诊和就诊期间，您是否能及时得到护士或工作人员的关注？
During the waiting and treatment process, did you receive timely attention from nurses or staff?

是 / Yes
否 / No
护理服务
Nursing Service
3.
护士是否向您解释了等待时间及原因？
Did the nurse explain the waiting time and reasons to you?
是 / Yes
否 / No
4.
护士是否向您提供了清晰的健康宣教或注意事项？
Did the nurse provide clear education or instructions?
是 / Yes
否 / No
5.
您对护士的专业表现（操作技能、解答问题能力等）的满意度如何？
How satisfied are you with the nurse’s professionalism (skills, ability to answer questions, etc.)?
1分为很不满意，5分为非常满意。
1 is very dissatisfied and 5 is very satisfied.
 
 
就诊流程
Treatment Process
6.

是否有工作人员清晰给您解释急诊就诊流程（比如注册，分诊，治疗……） Has any staff clearly explained the emergency visit process to you, such as registration, triage, and treatment?

是 / Yes
否 / No
人文关怀
Humanistic Care
7.
护士在服务过程中是否让您感受到关心和尊重？
Did the nurse make you feel cared for and respected during the service?
是 / Yes
否 / No
总体建议
Overall Suggestions
8.
在本次就诊过程中，是否有让您印象深刻的服务或人员? 请描述：
During this visit, was there any service or staff member that impressed you? Please describe:
9.

您对我们的服务有其他建议或意见吗？请填写：

Do you have any other suggestions or comments about our service? Please fill in:

10.
请点击右下方黄色的标志并扫描您手腕带上的二维码：
Please click on the yellow sign at the bottom right and scan the QR code on your wrist:
扫描此码会帮助我们更好的了解您的诉求和建议
Scanning this code will help us better understand your requests and suggestions
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