Q3.2 To what Extent do You Agree or Disagree with the Following Statements?	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly AGREE
Differences in patients’ expectations and actual service was communicated to employees.	1	2	3	4	5
Employees’ feedback was part of decision making.	1	2	3	4	5
Employees were involved in quality activities.	1	2	3	4	5
Employees were aware of the QMS implementation objectives.	1	2	3	4	5
Adequate quality education and training were provided when needed.	1	2	3	4	5
Learning and comprehension of quality tools and principles were evaluated.	1	2	3	4	5
Employees assigned to QMS tasks were competent.	1	2	3	4	5
Employees’ satisfaction with the QMS was measured.	1	2	3	4	5
Employees were appropriately recognized or rewarded for engagement in the implementation effort.	1	2	3	4	5
There were sufficient resources to support quality projects/processes.	1	2	3	4	5
There were adequate staff in support of the QMS.	1	2	3	4	5
There was adequate funding for QMS purposes.	1	2	3	4	5
Data generated from information management systems were used for improvement.	1	2	3	4	5
The organization used an information management system.	1	2	3	4	5
Quality data and information were analyzed.	1	2	3	4	5
Communication between different levels of management was effective.	1	2	3	4	5
Adequate time was allocated for staff to conduct quality tasks.	1	2	3	4	5
The organization had a quality-focused culture.	1	2	3	4	5
Staff easily adopted quality concepts.	1	2	3	4	5