Patient Satisfaction Survey
Thank you for using our services.  Keiju Medical Center is making continuous efforts to provide higher quality medical care by sincerely listening to voices of patients and visitors. To improve our future performance, please take a few minutes to voice your opinions and requests in the questionnaire.  Since this questionnaire is anonymous, please feel free to fill it out with your candid opinions.  Please note that we cannot reply individually.
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Date of use of our services (Date of seeing the doctor or hospital discharge)
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How satisfied were you with each of the following?Waiting time before seeing the doctor
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Time for the doctor’s consultation
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Doctor’s physical examination and treatment
Clear selection
Dialogue with the doctor: (Was the doctor kind and attentive to you?)
Clear selection
Nurses (Were they kind and attentive to you?)
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Clerk (Were they kind and attentive to you ?)
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Other staff (including pharmacist, dietitian, and staff at the pharmacy, rehabilitation, radiology and physical examination)
Clear selection
Check-in procedure
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Care to reduce pain and symptoms
Clear selection
Mental care
Clear selection
Building and facility
Clear selection
Protection of privacy
Clear selection
Would you recommend Keiju Medical Center to your friends or family?
Clear selection
Do you have any feedback on our services which are unsatisfactory and must be improved? (Answering this question is voluntary.)
If you have found any noteworthy good point of our services, what was it? ( Answering this question is voluntary.)
About the Respondent of this questionnaire
Gender of the user
Age of the user
Main medical department visited
On what situation did you experience the longest wait time?
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