The Hong Kong University of Science and Technology
香港科技大學

Survey on On-campus Medical Service 2011
校園醫療服務問卷調查 2011

Please spend a few minutes to complete the following questions as appropriate and click the "Submit Questionnaire" button at the bottom of the page. Thank you!
請花幾分鐘時間回答下列問題，然後按下方的"提交"按鈕，謝謝！

Q1. Have you ever visited the Medical Clinic for medical consultation/services since July 2009?
       自2009年7月以來你有否到過本校診所求診/接受治療？
  1. Yes, more than 6 times 有，超過六次
  2. Yes, 3-6 times 有，三至六次
  3. Yes, 1-2 times 有，一至二次
  4. No. --> Go to Question 5 (skip Q2 - 4) 沒有 --> 請直接答第五題(Q5)

Q2. If you have attended the Medical Clinic since July 2009, please indicate how satisfied you are with the following:-
       若你自2009年7月以來曾使用本校診所之服務，請回答以下問題，表達你對服務之滿意程度
a. Customer service attitude of staff:
      (including nurse, receptionist and dispenser)
     職員〈包括護士、接待員及配藥員〉之服務態度：		 Satisfactory 滿意 5 4 3 2 1 Unsatisfactory 不滿意
b. Scope of medical services provided:
     診所提供之服務範圍：		 Satisfactory 5 4 3 2 1 Unsatisfactory
c. Average waiting time for service:
     平均輪候時間 		Satisfactory 5 4 3 2 1 Unsatisfactory
d. Doctor's explanation and attitude during consultation:
     診症時醫生之講解及態度：		 Satisfactory 5 4 3 2 1 Unsatisfactory
e. Clarity of instructions by staff at dispensary:
     藥房職員能給予清楚指示：		 Satisfactory 5 4 3 2 1 Unsatisfactory
f. Effectiveness of medicines:
     藥物之療效：		 Satisfactory 5 4 3 2 1 Unsatisfactory
g. Health education/information materials at clinic:
     診所提供之健康教育資訊：		 Satisfactory 5 4 3 2 1 Unsatisfactory
h. Professional service at treatment room:
  e.g. dressing, inoculation etc. (skip if not applicable)
     醫療室之服務(如傷口處理、注射等 (如不適用無須填寫)：		 Satisfactory 5 4 3 2 1 Unsatisfactory
i. Overall satisfaction:
     整體服務：		 Satisfactory 5 4 3 2 1 Unsatisfactory

Q3. SPECIALIST CONSULTATION SERVICES (專科服務):

Q3a. Have you ever used any of the Specialist Consultation Services at the Campus Medical Clinic since July 2009?
       自2009年7月以來你曾否使會過本校診所之專科服務？
  1. Yes 有
  2. No 沒有

Q3b. If your answer to Q3a is YES, what specialist consultation service(s) have you used? (You can choose more than one as appropriate)
       若你在3a題的答案是『有』，你曾使用過那項專科服務？可選多項。

 Dermatology 皮膚科
Internal Medicine 內科
Obstetrics & Gynacecology 婦產科
Opthalmology 眼科
Allergy 過敏症
Paediatrics 兒科
Respiratory Medicine 胸肺科
Surgery 外科
Ear Nose and Throat 耳鼻喉科
Physiotherapy 物理治療

Q3c. Your comments and suggestions about the specialist consultation services at Campus Medical Clinic, if any:
       你對本校診所提供的專科服務之建議或意見

        

Q4. APPOINTMENT ARRANGEMENTS FOR GENERAL PRACTICE CONSULTATION  (普通科門診之預約安排):

Q4a. Did you make appointment for consultation services at the Campus Medical Clinic?
     你曾否以預約的方式安排見醫生？
  1. Always 經常
  2. Sometimes 間中
  3. Never 從來沒有

Q4b. Did you find making appointment help reduce your waiting time?
     預約安排能否節省你的輪候時間？
  1. Yes 有
  2. No 沒有
  3. Not sure 不確定

Q4c. Any suggestions for improving the appointment arrangements?
     改善預約安排的建議

        

Q5. If you have NEVER visited the Medical Clinic, please indicate the main reason.
     若你從來沒有使用本校診所之服務，請指出最主要原因

  1. No illness 沒有生病
  2. Had own medical insurance/scheme 我有自己的醫療保障計劃
  3. Used to consult my own family doctor 習慣向自己的家庭醫生求診
  4. Did not know the availability of service 不知道校園有提供這服務
  5. Did not have time during its opening hours 我在診所開放時沒有空
  6. Not confident on the service 對服務沒有信心
  7. Others (please specify) 其他原因 (請說明):

Q6. HEALTH EDUCATION AND INFORMATION (健康教育及資訊):

Q6a. Have you attended any health talks organized on campus before?
     你曾否出席在校內舉辦的健康講座？
  1. Yes 有--> Please answer Q6b and skip Q6c (請答Q6b及跳過Q6c)
  2. No 沒有--> Please skip Q6b and answer Q6c (請跳過Q6b及答Q6c)
Q6b. Did you find the health talk(s) useful? Very Useful
很有幫助		 5 4 3 2 1 Not Useful
沒有幫助
     這些講座對你有沒有幫助？

Q6c. Major reason for not attending any of the health talks:
     你從來沒有出席這些健康講座的主要原因

  1. Not interested in the topics 對講題不感興趣
  2. The time was not convenient 講座時間不方便
  3. Other reason 其他原因(please specify 請說明: )

Q6d. Please suggest some health topics you are interested in:
     請建議一些你有興趣的有關個人健康的講題

        

Q6e. Other means you would suggest for health education to be conducted and health information to be disseminated on campus:
     你認為有甚麼其他途徑能有效地在校園內提供健康教育及發佈有關資訊？

        

Q7. ANY OTHER COMMENTS / SUGGESTIONS NOT COVERED ABOVE:
     其他(上面沒有提到的)意見及建議：

        

Q8. Please let us know something about you:
     請讓我們知道一些你的個人資料：
1. Gender 性別: Male 男 Female 女
2. Residence 住所: On-campus 校內 Off-campus 校外
3. Status 身份: Student 學生 Staff 職員 Family Member 職員家庭成員
    If you are a student:
     若你是學生		 (i) Level of Study:
     程度		 UG 本科生 PG 研究生
(ii) Year of Study
     年級: