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Survey

Medica Kundenumfrage

Survey

We value your opinion

 

Dear visitor to our clinic

thank you for visiting our outpatient clinic.

We would be grateful if you could provide us with your feedback with this survey.

The survey is anonymous and helps to make your stay with us as pleasant and comfortable as possible.

 

 

    How satisfied are you with the premises and facilities in the outpatient clinic?

    happy 

    ok 

    sad 

    none 

    Your comments (optional):

    How satisfied are you with the overall cleanliness?

    happy 

    ok 

    sad 

    none 

    Your comments (optional):

    How satisfied are you with the staff at reception?

    happy 

    ok 

    sad 

    none 

    Your comments (optional):

    How satisfied are you with the staff in sample collection?

    happy 

    ok 

    sad 

    none 

    Your comments (optional):

    How satisfied are you with the medical consultation staff?

    happy 

    ok 

    sad 

    none 

    Your comments (optional):

    If you have been here on a number of occasions: How satisfied are you with the communication of test results?

    happy 

    ok 

    sad 

    none 

    Your comments (optional):

    Please fill out the following fields only if you would like to receive feedback from us, otherwise leave the fields blank.

    Feedback desired? If so, please provide your email address.

    If you have provided your name and email address, these data will be processed by our customer service representatives for the purpose of contacting you.

    Further information on data protection can be found on our data protection section.

     

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