Patient Feedback Thank you for taking our Patient Satisfaction survey. The Survey should take less than five minutes of your time to complete. Please rate your satisfaction level with each of the following statements. 1= Poor 2= Fair 3= Neutral 4= Good 5= Excellent 1. How would you rate the following aspects of your experience with us?a. Ease of getting an appointment12345b. Communication12345c. Ambience of the clinic12345d. Staff friendliness12345e. Waiting time123452. How would you rate the following aspects of your Consultation with the doctor?a. Quality of information12345b. Doctor’s Knowledge12345c. Professionalism123453. Did you experience any challenge trying to access our services?YesNoMaybeIf Yes, kindly state: 4. Would you recommend our services to your friends? YesNoMaybe5. How can we improve our services? Name/Initials: *By submitting this form, you're agreeing to our Terms of Service and Privacy PolicyPlease type the characters*This helps us prevent spam, thank you.SendThis field should be left blank
