Health Care in Jombang, Indonesia

Your satisfaction with the health care system in Jombang, Indonesia

• Will you be describing private or national medical institutions in the city?
  ---Please Select--- National Private
• How satisfied are you with the skill and competency of the local medical staff?
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• Speed in completing examinations and reports?
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• Do hospitals have equipment for modern diagnosis and treatment?
  Very Modern Equipment
  Quite Modern Equipment
  Neutral
  Somewhat Old Equipment
  Very Old Equipment
  Not Sure
• How satisfied are you with the accuracy and completeness in filling out reports?
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• Friendliness and courtesy of the staff?
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• How satisfied are you with the responsiveness (waitings) in medical institutions?
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• Convenience of location for you
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• Cost to you
  Very Satisfied
  Somewhat Satisfied
  Neutral
  Somewhat Dissatisfied
  Very Dissatisfied
  Not Sure
• What kind of medical insurance coverage do you have?
  ---Please Select--- National Employer-Sponsored Private None