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Survey
Please select a valid form
Patients Satisfaction
What About You
Name
Age
TEST
*
Report Number
Doctor Name
*
Number of visits
*
1-2
3-4
5 and more
Communication Center
The possibility of getting an appointment on the day and the timing appropriate to you
*
Excellent
Good
Acceptable
Weak
Bad
Receptions
Pleasantness and availability of receptionist, and Administrative procedures (completing papers and paying) fast and easy
*
Excellent
Good
Acceptable
Weak
Bad
The Medical Staff and Medical Services
The doctor was welcoming
*
Excellent
Good
Acceptable
Weak
Bad
Giving information about the duration of the treatment plan
*
Excellent
Good
Acceptable
Weak
Bad
The doctor took the time with me
*
Excellent
Good
Acceptable
Weak
Bad
Pleasantness of optometrist
*
Excellent
Good
Acceptable
Weak
Bad
Pleasantness of nurses
*
Excellent
Good
Acceptable
Weak
Bad
Waiting Time /Facilities
Comfortable waiting rooms
*
Excellent
Good
Acceptable
Weak
Bad
Premises clean
*
Excellent
Good
Acceptable
Weak
Bad
Inside the center the consultation room was clearly sign-posted
*
Excellent
Good
Acceptable
Weak
Bad
Do you rely the center for next destination for medical treatment?
*
Yes
No
In general, are you satisfied with your treatment in the center?
*
Excellent
Good
Acceptable
Weak
Bad
Ways of knowing the center:
*
Friend
Internet
Magazines and newspapers
Brochure
T.V
Marketing SMS
Conferences and Exhibitions
Radio
Crossing the centers building
Other
Other
Any suggestions to improve our work?
Your Opinion Matter
feedback
How satisfied are you with the level of service provided by AlHokama Center?
Extremely Satisfied
Satisfied
Not Satisfied
Do you will choose AlHokama center for your next treatment?
Yes
No
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