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Table 3 Questionnaire for measuring client satisfaction

From: Factors determining satisfaction among facility-based maternity clients in Nepal

  Very unsatisfied Unsatisfied Neutral Satisfied Very satisfied
How satisfied were you about the waiting time? 1 2 3 4 5
How satisfied are you with the information you received from the providers? 1 2 3 4 5
How satisfied are you with the level of skill the provider had to deliver your baby? 1 2 3 4 5
How satisfied are you with the politeness of the staff with whom you consulted? 1 2 3 4 5
How satisfied are you regarding your involvement in decision makingduring the care at the facility? 1 2 3 4 5
How satisfied are you with the cleanliness of the facility? 1 2 3 4 5
How satisfied are you with the level of privacy you received? 1 2 3 4 5
How satisfied are you with the care you received at this facility? 1 2 3 4 5