Skip to content
BETHANY WOMEN AND FAMILY HOSPITAL CUSTOMER EXPERIENCE SURVEY
Dear Client,
Thank you for making time to fill out this short Bethany survey.
*
1.
How old are you?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
*
2.
Place of residence?
(Required.)
*
3.
Gender?
(Required.)
Male
Female
4.
Which branch did you visit?
Bethany Women & Family Hospital Luzira
Bethany Children's Clinic
Bethany Women & Family Hospital Entebbe
5.
How did you know about us?
Google
Facebook
Twitter
Instagram
Website
Youtube
Other (please specify)
6.
For how long have you visited Bethany?
0 - 6 Months
7 Months - 1 Year
2 - 5 Years
6 Years+
7.
When did you last visit Bethany or its affiliates?
0 - 1 Month
2 - 6 Months
7 Months - 1 Year
2 - 5 Years
6 Years+
8.
Which service had you come for?
Fertility
Laparoscopy
Maternity
Gynecology
Paediatrics
Other (please specify)
9.
What was your experience like?
Exceeded Expectation
Met Expectation
Below Expectation
10.
Please highlight your best Customer Touch Points.
Reception
Laboratory
Scan Room
Doctor's room
Nursing Team
La Vita Café
Fertility Clinic
Accounts
House Keeping
Pharmacy
Ward/Admissions
Theatre
11.
What good experience did you get at your best Customer TouchPoint?
12.
Please highlight Customer Touch Points that need improvement.
Reception
Laboratory
Scan Room
Doctor's Room
Nursing Team
La Vita Café
Fertility Clinic
Accounts
House Keeping
Pharmacy
Ward/Admissions
Theatre
13.
What bad experience did you get at your worst Customer TouchPoint?
14.
Please share your recommendations for quality improvement.
15.
Suggest one service to add to our current scope of services.
16.
Do you watch Bethany TV and Which programme do you enjoy?
17.
Would you recommend us to friends or family?
Yes
No
Current Progress,
0 of 17 answered
