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Lt En Ru De Fr



Quality Survey

As a part of our Quality Management Program, we are looking at the ways of providing the highest quality healthcare to our patients/clients. We are kindly asking you to answer these questions. Your input and feedback is important for us and for our future patients.
Please, mark the relevant:
Please provide the following information:

Name of your insurance company: How do you rate the following: 1. Ease of scheduling an appointment Excellent
Fair
Poor
2. Waiting time to be examined by a physician Excellent
Fair
Poor
3. Quality of healthcare services you received Excellent
Fair
Poor
4. Safety of healthcare services you received Excellent
Fair
Poor
5. Staff's concern for and respect of your privacy Excellent
Fair
Poor
6. Explanation of your examination and treatment plan by a physician Excellent
Fair
Poor
7. Qualification of physicians Excellent
Fair
Poor
8. Qualification of nurses Excellent
Fair
Poor
9. Courtesy and attentiveness of the staff Excellent
Fair
Poor
10. Homely atmosphere and cleanliness at the Centre Excellent
Fair
Poor
Other issues you would like to note: Would you recommend our Centre to others? Yes
No
Enter your comments and wishes:

Thank you for your time and assistance.
We wish you good health!
Quality Team

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