Patient Satisfaction Survey
Patient Satisfaction Survey
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Which healthcare facility did you visit?
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How satisfied were you with the overall experience at the healthcare facility?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
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Did you feel that your medical needs were addressed effectively?
Yes
No
Partially
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How would you rate the professionalism and courtesy of the staff?
Very Poor
Poor
Average
Good
Excellent
Very Poor
Poor
Average
Good
Excellent
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Did you receive clear explanations about your condition and treatment plan?
Yes
No
Partially
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Were the facilities and amenities at the healthcare facility satisfactory?
Yes
No
Partially
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Was the waiting time acceptable to you?
Yes
No
Partially
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Did you experience any difficulties during your visit?
Yes
No
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How likely are you to recommend this healthcare facility to others?
Not Likely at All
Slightly Likely
Moderately Likely
Very Likely
Extremely Likely
Not Likely at All
Slightly Likely
Moderately Likely
Very Likely
Extremely Likely
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Any additional comments or suggestions for improvement?
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