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Patients Satisfaction Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What do you appreciate about our service?
Please select the option that best reflects your opinion.
Timely appointments
Professional staff
Clean facilities
2
How satisfied are you with our service?
Please rate your satisfaction on a scale from 1 to 10.
3
What bothers you about our service?
Please describe in detail what aspects bother you the most.
4
Which area do you think needs improvement?
Please select the area where you think we can improve the most.
Waiting times
Communication
Quality of care
5
How likely are you to recommend our service to others?
Please rate your likelihood on a scale from 1 to 10.
6
Leave a thank message to our staff.
Feel free to share any additional feedback you may have.
7
How responsive do you find our staff to be?
Please rate the responsiveness of our staff on a scale from 1 to 10.
8
Are there any specific services or amenities you would like us to add?
Please list any services or amenities you feel could enhance your experience.
9
How well do we address your concerns and questions?
Please rate our ability to address your concerns and questions on a scale from 1 to 10.
10
In what ways can we make your experience with us more comfortable?
Please provide suggestions on how we can enhance your comfort during your visits.
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