top of page
Q1. How did you hear about our clinic?
Q2. What service(s) did you receive during your visit today?
Please rate the service you received and share your comment or suggestions.
Excellent
Good
Fair
Poor
Not applicable
Q3.How would you rate the clarity and efficiency of your medical assessment process?
Very efficient
Mostly clear
Somewhat confusing
Inefficient
Not applicable
Q4. How satisfied were you with the explanation and approach you received?
Very satisfied
Satisfied
Neutral
Dissatisfied
Not applicable
Q5. Was the receptionist welcoming and helpful?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Q6. How long did you wait before being seen?
Less than 10 minutes
10–20 minutes
None of the above
20–40 minutes
More than 40 minutes
Q7. The clinical staff (nurses, technicians, doctor) were courteous and professional.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Q8. Did our clinicians clearly explain your diagnosis and treatment plan?
Yes, very clearly
Mostly
Somewhat
Not really
Not at all
Q9. Were you treated with dignity, respect and thoughtfulness?
Strongly agree
Agree
Disagree
Strongly disagree
Q10. Was it easy to make a booking and find the clinic?
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
Q11. How would you rate your overall experience at our clinic?
Excellent
Good
Fair
Poor
Q12. How likely are you to recommend our clinic to others?
Definitely
Probably
Might or might not
Probably wouldn’t
Definitely wouldn’t
bottom of page