A Questionnaire on Medical Tourism
A Questionnaire on Medical Tourism
Name:……………………………………………………………………………………
Contact-Number/Email:…………………………………………………………………
Gender: - □ Male □ Female
Age: - □14-20 □20-30 □30-40 □40-50 □Above 50
Profession: - □Business Man □Service Holder □Student □Others
Your Monthly Income: - □15,000-40,000 □40,000-60,000 □60,000 - 80,000 □80,000 – 1, 00,000 □Above 1, 00,000
Places of residence: - □ Urban Areas □ Rural Areas
1. In which country have you gone for medical treatment?
□India □China □Singapore □Thailand □Malaysia □ If others (Please Specify)…………..
2. Which source have you forced to accept that country’s medical services?
□Various Medical Offering □Natural Environment □ Standard services □Low cost □ If others (Please Specify)…………..
3. How long times have you stayed there?
□Less than one month □More than one month □Two month’s □Three month’s □Above three months
4. What are you expected more in staying there?
□ Accommodation □ Foods □ Sports activities □Other activities
Statements
Strongly Agree
Agree
Neutral
Strongly Disagree
Disagree
Preparing the visas for medical issues rapidly
Fees (regarding the medical and health services, the rooms and meals and other recreational activities) demanded by the tourist company is very high
Hospitality is satisfactory
Public safety is very strong
Transportation links is very nice
Net and cleaning environment is available
Quality of food is satisfactory
Competitive costs of complementary medical and health services
Satisfactory quality of recreational and health services according to international standards
Existence of different natural places used for treatment
Cooperation between the travel agencies and health and medical centers is very good
Possibility of consulting with physicians and surgeons through websites after coming back to host country
Having access to international communication services (such as toll call, internet and
Name:……………………………………………………………………………………
Contact-Number/Email:…………………………………………………………………
Gender: - □ Male □ Female
Age: - □14-20 □20-30 □30-40 □40-50 □Above 50
Profession: - □Business Man □Service Holder □Student □Others
Your Monthly Income: - □15,000-40,000 □40,000-60,000 □60,000 - 80,000 □80,000 – 1, 00,000 □Above 1, 00,000
Places of residence: - □ Urban Areas □ Rural Areas
1. In which country have you gone for medical treatment?
□India □China □Singapore □Thailand □Malaysia □ If others (Please Specify)…………..
2. Which source have you forced to accept that country’s medical services?
□Various Medical Offering □Natural Environment □ Standard services □Low cost □ If others (Please Specify)…………..
3. How long times have you stayed there?
□Less than one month □More than one month □Two month’s □Three month’s □Above three months
4. What are you expected more in staying there?
□ Accommodation □ Foods □ Sports activities □Other activities
Statements
Strongly Agree
Agree
Neutral
Strongly Disagree
Disagree
Preparing the visas for medical issues rapidly
Fees (regarding the medical and health services, the rooms and meals and other recreational activities) demanded by the tourist company is very high
Hospitality is satisfactory
Public safety is very strong
Transportation links is very nice
Net and cleaning environment is available
Quality of food is satisfactory
Competitive costs of complementary medical and health services
Satisfactory quality of recreational and health services according to international standards
Existence of different natural places used for treatment
Cooperation between the travel agencies and health and medical centers is very good
Possibility of consulting with physicians and surgeons through websites after coming back to host country
Having access to international communication services (such as toll call, internet and