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Client Satisfaction Survey Form English
Patient Satisfaction Survey
Doctors: How would you rate your experience with our doctors?
5
4
3
2
1
Nurses & Technicians: How satisfied are you with the attention, skill, and support provided by our nurses and technicians?
5
4
3
2
1
International Relations Team: How would you evaluate the assistance you received from our International Relations team?
5
4
3
2
1
Translators & Interpreters: How would you rate the quality and clarity of communication provided by our translators and interpreters?
5
4
3
2
1
Transportation and Other Services: How would you rate the quality of transfer services and any other support services you utilized (e.g., lodging, guidance)?
5
4
3
2
1
Overall Experience: How would you rate your overall experience at our clinic, including all aspects of your visit?
5
4
3
2
1
Will you recommend the clinic to your friends/family?
Yes
No
Please share any further comments or feedback you deem appropriate.
Would you like us to contact you to discuss your feedback?
Yes
No
If you answered with ‘Yes’ to the previous question, please insert your contact details!
Submit Form
