first being if the patients were satisfied or not. The second step involved asking the patients their level of satisfaction (very satisfied, somewhat satisfied, somewhat dissatisfied, and very dissatisfied) (Mendoza Aldana et al. 2001). A separate study by Kuzma et al (2010) used patient satisfaction questionnaires which were designed as semi-structured qualitative interviews to assess the patient satisfaction with rural health facilities. These questionnaires included “staff attitudes and performance