尊敬的患者您好！非常感谢您参与本次匿名满意度调查。此次问卷主要针对您在北京协和医院国际医疗部就诊的体验和感受。我们将对您的所有信息严格保密. 您的反馈意见将有助于我们不断提升国际医疗服务。感谢您的理解与支持！
Dear Patient, Thanks for your participation in this anonymous satisfaction survey.This questionnaire aims to learn about your impression and opinion on your medical experience in International Medical Services(IMS) Department of Peking Union Medical College Hospital(PUMCH). All your information will be kept confidentially. Your feedback will be attributed to improve our international medical services. It is very appreciated for your cooperation and support!
1. 1. 您的国籍/ Your Nationality
Asian countries African countries European countries North American countries South American countries Oceanian countries Others (请注明Please specify)
2. 您从什么途径了解到北京协和医院国际医疗服务（可选超过一项）？/ How did you hear about PUMCH International Medical Services (may choose more than one)? 医院网站 /Hospital Website 出版文献/ Publications 搜索引擎/ Search Engine 中介 /Agency: (请注明Please specify) 北京协和医院微信公众号/ PUMCH WeChat Account 亲友/ Relatives/Friends 报纸杂志/ Newspapers＆Magazines 手机应用/ Mobile Applications 电视/Television
3. 来协和国际部主要是为了获得什么医疗服务（可选超过一项）？/Please indicate the service(s) Patient obtains (may choose more than one)? 治疗 Medical treatment 医疗建议 Second medical opinion 健康查体 health check up
4. 您对预约挂号流程便捷度是否满意？ Are you satisfied with the convenience of appointment registration? 非常满意 / Very Satisfied 满意 / Satisfied 一般 /Neutral 不满意 /Dissatisfied
5. 医护人员的外语沟通能力是否满足您的需求？/ Does the foreign‑language communication ability of medical staff meet your needs?
完全满足 / Fully Meet 基本满足 / Basically Meet 一般 / Neutral 不满足 / Not Meet
6. 您对医护人员的专业水平评价？/ Your evaluation of the professionalism of medical staff? 非常好 / Excellent 较好 / Good 一般 / Neutral 较差 / Poor
7. 您对门诊/ 住院的环境与设施满意度？/ Satisfaction with outpatient/inpatient environment and facilities?
非常满意 / Very Satisfied 满意 / Satisfied 一般 / Neutral 不满意 / Dissatisfied
8. 您对医疗费用的透明度是否认可？/ Do you recognize the transparency of medical expenses?
非常认可 / Highly Recognize 基本认可 / Basically Recognize 一般 / Neutral 不认可 / Disapprove
9. 您对就诊的流程是否认可？/ Do you recognize the processes of medical service? 非常认可 / Highly Recognize 基本认可 / Basically Recognize 一般 / Neutral 不认可 / Disapprove
10. 您觉得国际部门诊流程（预约挂号、取号报到、候诊、交费、检查、取药、复诊等）哪个可以改进？（可选超过一项）/Which medical process(es) do you think can be improved (may choose more than one) ?
预约挂号 / booking registration 取号报到 /pay and check in 门诊候诊 /waiting for the queue of the clinic 交费 /payment 检查预约 /examination appointment 取药 /medicine pick up 复诊 /follow up visit
11. 您对术后康复指导服务满意度？/ Satisfaction with post‑operative rehabilitation guidance?
非常满意 / Very Satisfied 满意 / Satisfied 一般 / Neutral 不满意 / Dissatisfied 不涉及/ Uninvolved
12. 您对本次整体就医体验的综合评价？/ Overall evaluation of your medical experience?
非常满意 / Very Satisfied 满意 / Satisfied 一般 / Neutral 不满意 / Dissatisfied
13. 对于北京协和医院国际医疗部的服务，您有哪些改进建议？/ What improving suggestions do you have for IMS of PUMCH?