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Wellness Readiness Assessment Survey (#11)
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Section 1: General Information
Name
Department Location
Role/title
Years of Experience at NMC
Less than 1 year
1-3 years
3-5 years
More than 5 years
How frequently do you interact with patients?
Daily
A few times a week
Rarely
Never
Section 2: Space & Patient Flow
How would you rate the ease of patient movement within the center?
Very efficient
Some bottlenecks
Often congested
Needs significant improvement
Are there designated areas that cause frequent patient congestion?
Yes (please specify)
No
Please Specify
What level of congestion is typically observed?
Minor congestion
Frequent congestion
Major disruptions
Do you think the current space allows for additional services (e.g., wellness programs, specialized clinics, consultation areas, diagnostic spaces)?
Yes, easily
With minor adjustments
No, space is too limited
What is the average patient wait time before consultation?
<15 min
15-30 min
30-60 min
Over 60 min
How well does the center accommodate privacy and comfort for patients?
Excellent
Adequate
Needs improvement
Section 3: Personnel Knowledge & Readiness for Wellness
How familiar are you with the concept of integrative wellness (preventive care, longevity medicine, functional health)?
Very familiar
Somewhat familiar
Heard of it but not clear
Not familiar at all
Do you feel confident in discussing wellness approaches with patients?
Yes, I do this regularly
Somewhat confident
Need more training
Not comfortable at all
Have you received any training in wellness-based healthcare?
Yes, extensive training
Some training
No training, but interested
No training and not interested
What are the biggest barriers to implementing wellness at this center? (Select all that apply)
Lack of knowledge
Patient demand is low
Resistance from physicians
Lack of time
Infrastructure constraints
financial concerns
others
Text Input
Would you be open to additional training on wellness concepts?
Yes
Maybe
No (please elaborate)
Text Input
Section 4: Patient Characteristics & Expectations
What percentage of patients come for preventive health (regular check-ups) rather than to treat an existing condition?
0-10%
10-30%
30-50%
Over 50%
What is the most common reason patients visit the center? (Select all that apply)
Acute medical issues (infections, pain)
Chronic disease management (diabetes, hypertension, obesity)
nonspecific complaints ( fatigue, bloating, brain fog , stress, sleep problems ect)
Preventive check-ups
Other
Text Input
How would you rate patients’ awareness of wellness and preventive care?
High awareness
Some awareness
Minimal awareness
No awareness
Do you think patients would be receptive to wellness-based treatments?
Yes, they are interested
Somewhat interested
Unlikely
Not at all
What factors do you think would motivate patients to opt for wellness services? (Select all that apply)
Doctor’s recommendation
Long-term health benefits
Insurance coverage
Social influence/trend
Other
s
Section 5: Workflow & Responsibility Division
How well-defined are roles and responsibilities within the center?
Very clear
Somewhat clear
Unclear
Needs restructuring
Is there a structured process for cross-department collaboration?
Yes, very effective
Somewhat effective
Exists but needs improvement
No structured process
How often do staff collaborate across departments for patient care?
Regularly
Occasionally
Rarely
Never
What are the biggest workflow inefficiencies currently affecting patient care? (Select all that apply)
Long patient wait times
Poor coordination between departments
Lack of structured protocols
Understaffing
Other
Text Input
What would help improve workflow efficiency?
Better training
Improved communication
More structured guidelines
Increased staff capacity
Section 6: Common Complaints & Cases
What are the top three medical complaints that patients present with?
1) 2) 3)
How frequently do patients ask about wellness, preventive health, or alternative treatments( like natural remedies)?
Regularly
Occasionally
Rarely
Never
Are there medical conditions commonly seen here that could benefit from wellness integration?
Yes (please specify)
No
Text Input
Conditions that benefit from wellness
Many conditions
Some conditions
Few conditions
What is the most frequent patient complaint about the center?
Long wait times
Limited treatment options
Lack of follow-up care
Poor patient experience
Other
Text Input
Final Thoughts & Recommendations
From your perspective, what would be the top 3 priorities to improve readiness for wellness?
1) 2) 3)
Do you have any additional comments or suggestions regarding wellness integration?
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