Hospitals Nursing Homes

Hospital Questionnaire
I’d ííke to thank you for takíng the tíme to speak wíth us. Currentíy we are carryíng out a research pro|ect to understand trends ín hospítaí
beds among díherent hospítaís & nursíng homes ín Indía. We are íntervíewíng Key Opíníon Leaders (seníor doctors and decísíon makers) to
anaíyze theír opíníons and requírements regardíng use of hospítaí aír beds. Píease be assured that, that íf you so wísh, your ídentíty wííí be
kept stríctíy conñdentíaí. I wouíd símpíy ííke to ask you a few questíons on thís sub|ect. Píease feeí free to teíí me, íf you are uncomfortabíe
wíth answeríng any of the questíons.
Hospítaí Name _________________________________________________________________________________________
Address _________________________________________________________________________________________
Respondent Name _________________________________________________________________________________________
Desígnatíon _________________________________________________________________________________________
Phone No: _________________________________________________________________________________________
Mobííe No: _________________________________________________________________________________________
Emaíí: _________________________________________________________________________________________
Type of Hospítaí: Prívate 1 Govt. 2
No. of OPD per day
No. of IPD per day
No. of hospítaí beds
O1. Píease gíve us some detaíís about the Hospítaí Beds and Mattresses you possess?
Company Name
(Hospital Beds) No. of Beds
No. of Air
Mattresses
Brand Name
of Air
Mattresses
Year of
Purcase
!arranty (No. of
years)
Price of Air
Mattresses
("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
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O2. Píease gíve us some detaíís about the Autocíaves you use?
Company Name
(Autocla$e)
No. of
Autocla$es
Brand Name of
Autocla$es
Year of
Purcase !arranty (No. of years)
Price of
Autocla$es ("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
O3. Píease gíve us some detaíís about the Suctíon Pumps you use ín hospítaí?
Company Name (%uction
Pumps)
No. of %uction
Pumps
Brand Name of
%uction Pumps
Year of
Purcase !arranty (No. of years)
Price of %uction
Pumps ("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
O4. Píease gíve us some detaíís about the Operatíon Theatre Lamps you use?
Company Name (&'
(amps)
No. of &'
(amps
Brand Name of
&' (amps
Year of
Purcase !arranty (No. of years)
Price of &'
(amps ("s.)
Cost of AMC#
spares#year
1.
2.
3.
4.
5.
6.
O5. Píease gíve us some detaíís about the Rehabííítatíon products used by hospítaí?
Product Name No. used Brand Name Year of !arranty (No. of years) Price ("s.) Cost of AMC#
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Purcase
spares#year
1.
2.
3.
4.
5.
6.
O6. On an average how many new uníts have been purchased by the hospítaí?
Product Name No. of units purcased in 2)1*
No. of units purcased in 2)12 No. of units purcased in 2)11
Aír Mattresses
Autocíaves
Suctíon Pumps
OT Lamps
Rehabííítatíon Products
a)
b)
c)
O. 7. Píease teíí me what kínd of servíce support you get from the company (for Aír Mattresses)?
Aír Mattresses Autocíaves
Suctíon
Pumps OT Lamps
Rehabííítatíon
Products
(1....)
Rehabííítatíon
Products
(2....)
Rehabííítatíon
Products
(3....)

O.8. Foííowíng are a few factors whích commoníy ínñuence decísíon-makíng process at the tíme of equípment purchase? Can you please
ran+ tese in order of importance on a scale of 1 to 1), !ere 1 - (east .mportant/ 1)-Most .mportant
Parameters for Air Mattresses # Autocla$es # %uction Pumps # &' (amps # "ea0ilitation Products
Product
Specíñcatíon
Accuracy ín
resuíts
Tíme of
resuíts Príce
Brand
Image
After Saíes
Servíce
Traíníng
gíven by
company
Ease of
Use
Locaí
Representatíon of
the Company
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O. 9. Píease teíí me how you purchase these products for your hospítaí? (Source of purchase)
%ource of purcase
1irectly
from te
company 1istri0utors
%uppliers
of te
e2uipment
%ales
persons
of te
company
Any oter
(specify)33333333
Aír Mattresses
Autocíaves
Suctíon Pumps
OT Lamps
Rehabííítatíon Products (1....)
Rehabííítatíon Products (2....)
Rehabííítatíon Products (3....)
O. 10. Are you píanníng to buy any new product ín near future?
Ne4 product purcase plan Yes No
.f Y5%/ o4 many,
Aír Mattresses
Autocíaves
Suctíon Pumps
OT Lamps
Rehabííítatíon Products (1....)
Rehabííítatíon Products (2....)
Rehabííítatíon Products (3....)
One of the woríd íeadíng company wouíd ííke to enter ín the segment ín Indía, wouíd you ííke to purchase products from that company
Yes 1 No 2
Confdential
Any other suggestíons /comments?
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