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Healthcare Quality and Service Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
Healthcare Service Survey
1

How would you rate the quality of healthcare services provided?

Please select one option.
2

Rate the overall service experience on a scale of 1 to 10.

Please rate from 1 being the lowest and 10 being the highest.
3

Share any additional feedback or suggestions.

Feel free to provide any comments or suggestions.
4

Were the healthcare facilities clean and well-maintained?

Please select one option.
5

How satisfied were you with the communication from healthcare staff?

Please select one option.
6

Did you face any challenges in accessing healthcare services?

Please select one option.
7

Would you recommend our healthcare services to others?

Please select one option.
8

How responsive was the healthcare facility to your needs?

Please select one option.
9

Please rate the cleanliness of the waiting areas.

Please rate from 1 being the lowest and 10 being the highest.
10

Any other comments or suggestions for improvement?

Feel free to provide any additional comments.