SAIL TelePrEP Feedback Survey
Please tell us your opinion about the service you received from TelePrEP. Your responses be kept strictly confidential, and will be used to improve our services. Thank you for your help!
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Client demographics
When was your last SAIL TelePrEP appointment? (Kailan ang huling appointment mo sa TelePrEP?)
 *
MM
/
DD
/
YYYY
Which age group do you belong to? (Saang pagpapangkat ng edad ka nabibilang?) *
What services did you avail? (Anong mga serbisyo ang iyong ginamit o natanggap?)
 *
Required
Feedback questions
Quality of services I have received. (Kalidad ng serbisyong aking tinanggap) *
Access to information and guidance on clinic services and procedures. (Pagbibigay ng impormasyon at gabay sa mga serbisyo ng clinic at hakbang para rito) *
Convenience in using TelePrEP service (Ginhawa sa paggamit ng serbisyong TelePrEP)
 *
Competency of TelePrEP staff. (Kakayahan ng mga miyembro ng tauhan ng TelePrEP) *
Responsiveness of TelePrEP team to your questions and requests. (Pagtugon ng bawat kasapi ng TelePrEP sa iyong tanong at pakiusap) *
Availability of your needed health care services. (Pagkakaroon ng serbisyong pangkalusugan na iyong kinakailangan) *
Medical confidentiality and respect of clients’ privacy (Pagpapanatili ng medical confidentiality at respeto sa privacy) *
On a scale of 0 to 10, how likely are you to recommend SAIL Clinic TelePrEP to a friend or colleague? (Sa sukatang mula 0 hanggang 10, gaano kamalamang mong imumungkahi ang SAIL Clinic TelePrEP sa kaibigan o kasama) *
Not likely/Hindi ko imumungkahi
Very likely/Siguradong imumungkahi
What can we improve with the SAIL TelePrEP process? (Ano ang pwede naming pagbutihin sa proseso ng SAIL TelePrEP?)
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