poe questionnaire area health centre template

1. POST OCCUPANCY EVALUATION QUESTIONNAIRE FOR AREA HEALTH CENTRE, CLUB ROAD, VACOAS.WELCOME TO THE POST OCCUPANCY EVALUATION QUESTIONNAIRE.Before continuing, please take a few moments to read and acknowledge the following terms.I understand that my participation in this questionnaire is voluntary. I can request for my data to be withdrawn from the study and I am under no obligation to respond to all questions.I understand that all information will be treated with the utmost confidentiality and that my anonymity will be respected at all times.1. I agree to the above terms and would like to take part in this survey.

Yes

No

2. GENERALPlease make one selection for each answer. Changes can be made at any time before final submission.1. GeneralMaleFemaleGender

2. How long have you worked in this building?11-23-4>4YearsOther (Please specify)

3. How long do you spend in the building during the day?1-23-55-8>8HoursAdditional comment(s)

4. How long do you spend working at a computer (average hours per day)?1-23-55-8>8HoursAdditional comment(s)

3. THE BUILDING OVERALL

1. Overall how would you rate the general building layout? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5

Additional comment(s)

2. Overall does the building meet your needs? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


3. Is there provision within the building for privacy when needed? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


4. How safe do you feel in the building? (with 1 being very unsafe to 5 being very safe): 1 2 3 4 5


4. THE BUILDING OVERALL1. How would you rate the overall quality of the following areas? (with 1 being very poor to 5 being very good):Ground Floor 1 2 3 4 5(i) Waiting Area (Records & Pharmacy)(ii) Pharmacy + Store(iii) Medical Records Room(iv) Waiting Area (with Skylight above)(iv) Family Planning/Vaccination/ Community Midwife Unit Room(v) ECG/Treatment Room(vi) Dental Clinic(vii) Dressing Room(viii) Consultation Rooms(ix) Mess Room

Additional

First Floor 1 2 3 4 5(i) Engineering Health Unit(ii) Health Inspectors Office(iii) Senior Health Inspector Offices(iv) Principal Health Inspector Office(v) Regional Public Health Superintendent Office(vi) Health Surveillance Office(vii) Typist Clerical + Store(viii) Lecture Hall(ix) Store(x) Mess Room


2. Do you have enough space at your desk or normal work area? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


3. How would you rate the quality of the furniture at your desk or normal work area? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


4. How would you rate the storage space in the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


5. How would you rate the interior finishes of the building walls, flooring etc? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


6. Do effective is the shading (blinds) provided in the building walls, flooring etc? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


7. How would you rate the quality of the toilets in the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


5. THE BUILDING OVERALL1. How would you describe the summer indoor air temperature? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


2. How would you describe the winter indoor air temperature? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


3. How would you describe the ventilation and air quality of the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


4. How would you describe noise in the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


5. How would you describe the amount of natural daylight overall in the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


6. How would you describe the quality of artificial daylight overall in the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


7. How much control do you have over the following aspects of the building? (with 1 being no control to 5 being full control): 1 2 3 4 5HeatingVentilationDaylightArtificial lightNoiseAdditional comment(s)

8. How energy and water efficient do you think the building is? (with 1 being very inefficient to 5 being very efficient): 1 2 3 4 5


9. How important is it to you that the building is energy and water efficient? (with 1 being not important at all to 5 being very important): 1 2 3 4 5


6. THE BUILDING OVERALL1. How would you rate the level of cleanliness of the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


2. How would you rate the overall quality of the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


3. Would you say that the building enhances your productivity? (with 1 being strongly disagree to 5 being strongly agree): 1 2 3 4 5


4. The building is a pleasure to use? (with 1 being strongly disagree to 5 being strongly agree): 1 2 3 4 5


5. How would you describe the views from inside the building to outside the building? (with 1 being very unsatisfactory to 5 being very satisfactory): 1 2 3 4 5


6. The building is sensitively designed for the unique landscape setting? (with 1 being strongly disagree to 5 being strongly agree): 1 2 3 4 5


7. The building is built in an environmentally friendly way? (with 1 being strongly disagree to 5 being strongly agree): 1 2 3 4 5

Additional comment

8. How important is it to you that buildings are built in an environmentally friendly way? (with 1 being not important at all to 5 being very important): 1 2 3 4 5

Additional comment

7. COMMENTS1. If you have any additional comments that you would like to make about any aspect of your work environment, or general comments, please note them here. If relevant to a particular question please give the question number.

7. SURVEY COMPLETEThank you very much for participating in this survey.

poe questionnaire area health centre template

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