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Q1 - Centre


Q2 - Which type of physician are you?


Q3 - Speciality


Q4 - Doctor details
Enter
Name of the Doctor
Gender
Education Qualification
Hospital/Clinic Name
Address
State
PIN
Tel No.


HiddenGender - HiddenGender


Good___Sir/Madam! My name is __________________ and I’m working with i3 Research Consultants, an independent market research agency. As a part of our research activities, we speak to various people to collect inputs on various industries. Currently, we would like to obtain your valuable inputs regarding Healthcare sector to generate a list of HOSPITALS/ CLINICS IN INDIA. I would be grateful if you could spare some time to answer a few questions. Your individual responses will be kept confidential. THANK YOU!


A1 - Doctor, please share with me, for how long are you into practice?


A2 - Where do you practice do you do?


A3 - I have a list of some of the specialties, please tell me which all type of patient you consult most


SECTION B: IMPORTANCE OF ATTRIBUTES


B1 - I have with me a list of parameters which people like you have mentioned that they are important at the time of evaluating a Hospitals/ Clinics. Please have a look at this list and rate all parameters on a 10 point scale where 1=Not at all important & 10 =Critical
Not at all important 2 3 4 5 6 7 8 9 Critical
Value for Money(Treatment at affordable cost and Medical Insurance Facility is also available. Overall value for money)
Team of Consultants(Well trained and qualified panel of Doctors)
Quality of treatment – both OPD & In-patient(Courteous paramedical staff and excellent In patient care)
Infrastructure(Excellent Infrastructure- Building. All Facilities under one roof- Diagnostic, Blood bank etc.)
Hygiene & Cleanliness(Neat and tidy building. Hygienic environment)
Facilities & Public convenience(Ease of getting environment, friendly staff and overall convenience)
Innovation & research facilities(Good academic facilities and decent innovation)
Overall Brand Legacy(Excellent Health care service. Overall reputation of hospital is good.)


QC - Please select the speciality for which you want to ask questions


Best Hospital (City)


CH1 - Please name top 3 Hospitals in your city for ()?

Please rate each one of these Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99
Name of the Hospital Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Hospital (India)


CH2 - Please name top 3 Hospitals at All India level for ()?

Please rate each one of these Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99
Name of the Hospital Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Clinic (City)


CC1 - Please name top 3 Clinic in your city for ()?

Please rate each one of these Clinic for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99
Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Clinic (India)


CC2 - Please name top 3 Clinic in your city for ()?

Please rate each one of these Clinic for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99
Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


QD - Please select the speciality for which you want to ask questions


Best Hospital (City)


DH1 - Please name top 3 Hospitals in your city for ()?

Please rate each one of these Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Hospital Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Hospital (India)


DH2 - Please name top 3 Hospitals at All India level for ()?

Please rate each one of these Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Hospital Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Clinic (City)


DC1 - Please name top 3 Clinic at All India level for ()?

Please rate each one of these Clinic for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Clinic (India)


DC2 - Please name top 3 Clinic at All India level for ()?

Please rate each one of these Clinic for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


EH - Please select the speciality for which you want to ask questions


Best Hospital (City)


EH1 - Please name top 3 Hospitals in your city for ()?

Please rate each one of these Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Hospital Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Hospital (India)


EH2 - Please name top 2 Hospitals at All India level for ()?

Please rate each one of these Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Hospital Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Clinic (City)


EC1 - Please name top 3 Clinic in your city for ()?

Please rate each one of these Clinic for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Clinic (City)


EC2 - Please name top 2 Clinic at All India level for ()?

Please rate each one of these Clinic for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY HOSPITAL- CODE 99

Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


FH - Please select the speciality for which you want to ask questions


Best Hospital (City)


FH1 - Please name top 3 Multispecialty Hospitals in your city for ()?

Please rate each one of these Multispecialty Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY MULTISPECIALTY HOSPITAL- CODE 99

Name of the Hospital Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Best Hospital (India)


FH2 - Please name top3 Multispecialty Hospitals at All India level for ()?

Please rate each one of these Multispecialty Hospitals for each parameter, on a scale of 1-10 where 10 represents outstanding or extraordinary performance and 1 represents unacceptable or poor performance.

ASK FOR ALL PARAMETERS ONE BY ONE- IF RESPONDENT COULD NOT RESPOND FOR ANY SPECIFIC PARAMETER OF ANY MULTISPECIALTY HOSPITAL- CODE 99

Name of the Clinic Others Value for Money Team of consultants Quality of treatment Infrastructure Hygiene and Cleanliness Facilities and Public convenience Innovation and Research Facilities Overall Brand Legacy


Thank you very much for your time and cooperation.




 


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