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Medical Clinic Patient Satisfaction Survey
*
1.
How do you usually book an appointment?
(Required.)
Call the clinic
Text the clinic
Email the clinic
Book my own appointment online.
Talk to the front staff in person
Other (please specify)
2.
How convenient was the appointment booking process?
Very Convenient
Somewhat Convenient
Neutral
Somewhat Inconvenient
Very Inconvenient
3.
How would you rate the communication with the clinic staff?
Excellent
Good
Fair
Poor
4.
How responsive was the clinic to your needs and concerns?
Very Responsive
Somewhat Responsive
Neutral
Somewhat Unresponsive
Very Unresponsive
5.
How satisfied are you with the overall experience at our clinic?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
*
6.
What annoys you mostly about HSMC
(Required.)
My doctor
The clinic Nurse
The clinic staff
The clinic location
Parking
Waiting area
Waiting time to get an appointment
Clinic hours
Other (please specify)
7.
Do you have any additional comments or suggestions to improve our services?
8.
How would you rate the overall quality of the medical services you received?
Excellent
Good
Fair
Poor
9.
On a scale of 0 to 10,
How likely is it that you would recommend our clinic to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10