lunes, 29 de octubre de 2012
SATISFACTION SURVEY
Contact name:
entity:
Date:
Phone:
time:
E-mail:
In the clinic MED our mission and are committed to meeting your needs constantly looking to improve the service we offer. To achieve this, the most valuable is his opinion. So thank you fill out the survey below.
Please select the option that most closely matches your Judgment: check only 1 (one).
If you will be a consultation, please answer the following:
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very satisfied
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satisfied
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dissatisfied
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Not Satisfied
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Option to our services
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a) The ease and availability of obtaining an appointment
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b) The hours are convenient
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c) The clinic is easily located
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d) The forms and payment facilities are adequate
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Opinion receive treatment
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a)
When requesting the appointment I received a friendly phone
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b)
Arriving at the reception was friendly and efficient care
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c) The treatment by nurses were kind and efficient
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d) the medical care was Cortes
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Review of medical care
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a) The consultation time was right for them.
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b) It was heard on its merits
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c)
The consultation explained what I wanted to know
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d) Consider what the doctor ordered is right
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Review general care
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a) The call was quick and efficient
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b) Waiting time in reception and waiting room was
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c) The facilities are comfortable, clean and safe
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d) Services may be recommended
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