Website - Leave a review form

1
Clinic ID
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clinic_slug
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What's your name?* This field is required.
First Name
Last Name
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Where are you from?
e.g. United Kingdom, United States, Ireland
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Which treatment did you have?
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When did you have your treatment?
Date of your treatment
Month
Day
Year
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How would you rate the overall experience of your medical trip?* This field is required.
(1 = Awful, 5 = Excellent)
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How would you rate the quality of the facilities?* This field is required.
(1 = Awful, 5 = Excellent)
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How would you rate the friendliness of the medical staff?* This field is required.
(1 = Awful, 5 = Excellent)
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How would you rate the professionalism of the medical staff?* This field is required.
(1 = Awful, 5 = Excellent)
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How would you describe treatment quality and service you received compared to home?* This field is required.
Treatment quality and service were the same as what i would get at home
Treatment quality and service were better than what I would get at home
Treatment quality and service were worse than home
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Please tell us about your whole experience!(e.g. Were you picked up at the airport? How was the process from the first consultation to the final checkup after the treatment? Did the staff treat you well? Were the facilities clean and comfortable?)
13
How likely are you to recommend the hospital to a friend or family member?* This field is required.
Very Unlikely
Very Likely
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How likely are you to recommend the doctor to a friend or family member?* This field is required.
Very Unlikely
Very likely
15
Did you book through Qunomedical?
Yes
No
I was in touch with Qunomedical, but booked elsewhere
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Is there a specific reason why you did not book your treatment through Qunomedical?
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We would love to give a face to your review. Please upload a photo if you like.
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Max. file size: 10.6MB
The photo will be shown next to your review on www.qunomedical.com.
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18
Did you take any photos of the clinic or hotel facilities? Please upload them here.
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Max. file size: 10.6MB
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How do you want us to use your feedback for our services to create transparency for our patients?* This field is required.
With my first name and first initial of my last name (e.g. John S. or Katherine M.)
Using my first name
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How can we contact you in case we have any follow-up questions?
example@example.com
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I agree that my given details including health data may be processed by Qunomedical for the purpose of confirming this review. This may include the transfer of my data to healthcare providers within and outside the EU. The consent can be revoked at any time with effect for the future.* This field is required.
I accept
I don't accept
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