Outpatient satisfaction survey

Dear Patient,

At our clinic, we continuously strive to provide the highest level of care, both professionally and personally. We have designed our anonymous questionnaire to better understand the needs of our patients. 

It would greatly help us if you could fill out this questionnaire and share your opinion with us. Of course, we are pleased if you are satisfied but we are especially interested in any shortcomings you may have noticed so that we can address them and continue to improve our clinic.

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How did you find out about our clinic? *
Required
What made you choose our clinic?
*
Required
How did you schedule your appointment?
*
How soon were you seen for the appointment?
*
How satisfied were you with our clinic's environment, including its facilities, cleanliness, and comfort?
*
I was very dissatisfied.
I was very satisfied.
Please, if you would like, share more details about your experiences with our clinic's environment!
How satisfied were you with the attitude of our staff, including the specialists and the healthcare professionals?
*
I was very dissatisfied.
I was very satisfied.
Please, if you would like, share more details about your experiences with the attitude of our staff!
How satisfied were you with the healthcare services provided, including the examinations and consultations? *
I was very dissatisfied.
I was very satisfied.
Please, if you would like, share more details about your experiences with the provided healthcare services!
How satisfied were you with the administration, including the issuance of documents, billing, and payment?
*
I was very dissatisfied.
I was very satisfied.
Please, if you would like, share more details about your experiences with the administration!
Overall, how satisfied were you with our outpatient clinic?
*
I was very dissatisfied.
I was very satisfied.
Please, if you would like, share more details about your experiences with our outpatient clinic!
Would you visit our clinic again?
*
Would you recommend our clinic to others?
*
Please feel free to share any additional suggestions or comments that could help us improve our clinic.
Thank you very much for your cooperation!

The MATERNITY Team
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