Gynecological Health patient satisfaction survey

Gynecological Health patient satisfaction survey

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Survio provides plenty of ready-made survey templates allowing further editing. Customize them by replacing generic texts, add your own questions, delete any extra etc. Collected responses are processed real-time in tables and charts using the most common file formats.

Gynecological Health patient satisfaction survey

Hello,

Please take a few minutes of your time to fill in the following survey

1. Which method do you prefere to use to arange an appointment?

  • Telephone
  • In person
  • Email
  • Online booking through our website

2. Are you satisfied with booking an appointment in person at our office?

  • Yes

3. On avarage, how long do you have to wait to be examined?

  • 0-20 minut
  • 20-40 minut
  • 40-60 minut
  • 60+ minut

With an appointment

  • 0-20 minut
  • 20-40 minut
  • 40-60 minut
  • 60+ minut

Without an appointment

  • 0-20 minut
  • 20-40 minut
  • 40-60 minut
  • 60+ minut

4. How satisfied are you with our nurses?

5. Which of our Doctors last examined you?

  • Dr. 1
  • Dr. 2
  • Dr. 3

6. Please select the appropriate rating for your Doctor against the following statements:

Please mark 1, as exellent and 5, as the worst

  • 1
  • 2
  • 3
  • 4
  • 5

The Doctor acts professionaly at all times

  • 1
  • 2
  • 3
  • 4
  • 5

The Doctor is attentive and responds to my needs

  • 1
  • 2
  • 3
  • 4
  • 5

The Doctor is always discrete

  • 1
  • 2
  • 3
  • 4
  • 5

The Doctor is friendly and has a good manner

  • 1
  • 2
  • 3
  • 4
  • 5

The Doctor always provides me with all the information i need

  • 1
  • 2
  • 3
  • 4
  • 5

7. Does our Practice provide a sufficient ammount of privacy?

  • Yes

8. Are you satisfied with the medicines prescribed by our practice?

  • Very satisfied
  • Satisfied
  • Niether sadisfied nor dissatisfied
  • Dissatisfied
  • Very dissatisfied

9. Please state your age:

500

10. What could we change or do better next time? Please tell us in your own words:

500

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