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Patient Satisfaction Survey

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

Secured
1

What aspects of our healthcare service do you appreciate the most?

Please select the option that best represents your opinion.
2

How would you rate your overall satisfaction with our healthcare service?

Rate your satisfaction on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
3

What aspects of our healthcare service bother you the most?

Please provide details about the issues that bother you.
4

How likely are you to recommend our healthcare service to others?

Please select the option that best represents your likelihood to recommend.
5

Do you have any suggestions for improvement?

Please share any feedback or suggestions you may have.
6

Rate the friendliness of our staff.

Rate the friendliness on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
7

How satisfied are you with the cleanliness of our facilities?

Rate the cleanliness on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
8

Have you experienced any difficulties with the appointment scheduling process?

Please provide details about any difficulties you have faced.
9

Rate the effectiveness of the treatment you received.

Rate the effectiveness on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
10

How well do our healthcare services meet your needs?

Please select the option that best reflects your opinion.