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Survey

Patient Satisfaction Survey

Dear Patient,

Thank you for visiting us. By filling out this quick 5-10 minute survey, you will help us to provide better care in future.

1 Was this your first time as a patient at "CairoScan"?
Required answer

Branches
Required answer

    Survey about?
    Required answer

    3 Name:

    Mobile:
    Required answer

    Gender
    Required answer

    4 Patient Type

    5 How much time did you wait to have your exam?
    Required answer

    6 Rate your overall satisfaction with the service and offer you received.

    1/5

    7 How would you rate the speed of care given?
    Required answer

    Excellent
    Good
    Fair
    Poor
    Time in waiting room
    Time in exam room
    Waiting for test results

    8 Quality evaluation provided
    Required answer

    Excellent
    Good
    Fair
    Poor
    Quality of the medical team.
    Quality of the nursing team
    The tests and procedures have been fully explained
    Receptionist performance, level of service, and employee performance in general

    9 How likely would you recommend us to a friend, colleague, or family member?
    Required answer

    10 How would you suggest we improve our services to cater to you better?
    Required answer

    1500 characters remaining

    11 Complain?
    Required answer

    1500 characters remaining
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