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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.
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.
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.