DESCRIPTION OF POSBINDU SATISFACTION QUESTIONNAIRES

Part 1 Patient Identification

ID Code for identity
sex Gender 1 = Male
2 = Female
Education Last education 1 = Did not finish elementary
school
2 = Completed elementary
school
3 = completed junior high
school
4 = graduated from high
school / vocational school
5 = Others
diagnosis Diagnosis According to Patients 1 = Hypertension
and According to Posbindu's 2 = Diabetes
Records 3 = Others

Section 2 A. Availability of Services

A1
A2 1 = Never
A3 2 = Sometimes
A4 3 = Often
A5 4 = Always
A6 5 = Don't know
A7
A8 1 = Yes
2 = No.
3 = Others

Section 2 B. Communication and Information

B1
B2 1 = Yes
B3 2 = No.
B4
B5

Section 2 C. Patient-Officer Interactions and Counseling

C1 1 = Never
C2 2 = Sometimes
C3 3 = Often
4 = Always
Section 2 D. Infrastructure
D1 1 = Never
D2 2 = Sometimes
3 = Often
4 = Always

Section 2 E. Professional Competence

E1
E2 1 = Yes
E3 2 = No.

Part 3
1
2
3
4 Section
5 3 D.
6
7
8
9
10 1 = Not Important
11 2 = Important
12 3 = Very Important
13
14
15
16
17
18
19
20
21
Assessment of Health Care Facilities
1 Value 1-10
2 1 = No.
2 = Maybe not
3 = Maybe Yes
4 = Clearly Yes