Survey
Title
Please choose
Ms.
Mr.
Neutral
Full name
Phone
How would you rate the welcome you receive on arrival at the hospital?
None
Very satisfied
Satisfied
Moderately satisfied
Was the information about your care clear and sufficient?
None
Yes
No
How do you rate the competence and professionalism of doctors and nursing staff?
None
1
2
3
4
5
Have you received clear information about your treatment or surgery?
None
Yes
No
Did the medical staff take the time to listen to your concerns?
None
Yes
No
How would you rate the cleanliness of the facilities?
None
1
2
3
4
5
Were the equipment and facilities (room, toilets, etc.) comfortable and well-maintained?
None
Yes
No
How would you rate the waiting time to see a doctor or specialist?
None
Very short
Short
Medium
Long
Very long
Did you find the staff responsive to your requests or concerns?
None
Yes
No
Has information about your health and follow-up been communicated in a clear and comprehensible manner ?
None
Yes
No
Submit