Hospitals are facing the challenge of defining and measuring quality. One widely accepted measure of quality is customer satisfaction [1,2]. However, Lebow found little consensus regarding either the meaning or the measurement of patient satisfaction [3]. He reported efforts to develop patient satisfaction scales but found little systematic testing for validity and reliability. Moreover, Locker and Dunt [4] noted several methodological issues in the measurement and use of consumer opinions. First, as no standardized method for measuring consumer evaluation of care was used, no comparisons between studies could be made. Second, they suggested that any measure of consumer satisfaction should have a multi-dimensional scale and that measure should pose direct question related to actual.