Hospital Maintenance ROI Survey
Please complete this survey to help evaluate the return on investment for hospital maintenance activities.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Hospital Department
*
Please Select
Emergency
Surgery
Pediatrics
Radiology
Maintenance
Other
Satisfaction with Maintenance Services
*
1
2
3
4
5
Most Critical Maintenance Area
*
Please Select
Mechanical
Electrical
HVAC
Plumbing
Structural
Other
Comments on Maintenance Efficiency
Average Downtime per Maintenance Incident (hours)
*
ROI Perception Scale
*
Low ROI
1
2
3
4
5
6
7
8
9
High ROI
10
1 is Low ROI, 10 is High ROI
Suggestions for Improvement
I agree to participate in this evaluation voluntarily.
*
1
I agree
Submit
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