Survey on satisfaction with medical services
We invite you to fill in the questionnaire on satisfaction with medical services. We are the authors of an internet portal with health-related content. Your answers will help us develop the portal. Thank you in advance for your help :)
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
When was the last time you used a medical service?
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Miesiąc
-
Dzień
Rok
2 digit month, 2 digit day, 4 digit year
Data
What was the last medical service you used?
How would you rate the access to the service that you used recently?
1
2
3
4
5
How do you rate the timeliness of the service you recently used?
1
2
3
4
5
How do you rate the effectiveness of the service you recently used?
1
2
3
4
5
How would you rate the general atmosphere during the service that you used recently?
1
2
3
4
5
How do you rate hygiene and order when using the last service?
1
2
3
4
5
What did you like most about the last medical service?
What did you dislike most about the last medical service?
Do you often use medical services?
Definitely not
I don't think so
I don't know
Rather yes
Definitely yes
Are you usually satisfied with the medical service provided?
Definitely not
I don't think so
I don't know
Rather yes
Definitely yes
What do you think should change in medical services?
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