Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for healthcare. I would like you to rate your experiences using the following questions.

For your last visit to a healthcare provider, how would you rate the following:		Very good	Good	Moderate	Bad	Very bad
Q5039	… the amount of time you waited before being attended to?	1	2	3	4	5
Q5040	…your experience of being treated respectfully?	1	2	3	4	5
Q5041	…how clearly healthcare providers explained things to you?	1	2	3	4	5
Q5042	…your experience of being involved in making decisions for your treatment?	1	2	3	4	5
Q5043	…the way the health services ensured that you could talk privately to providers?	1	2	3	4	5
Q5044	…the ease with which you could see a healthcare provider you were happy with?	1	2	3	4	5
Q5045	…the cleanliness in the health facility?	1	2	3	4	5