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KHAMH AvMed Clinic
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Q1. How did you hear about our clinic?
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Referral from doctor
Referral from friend/family
Internet search
Social media
Other (please specify)
Q2. What service(s) did you receive during your visit today?
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Advanced wound care
Hyperbaric oxygen therapy
Neurofeedback
Aviation medical
Vestibular/balance assessment
Tinnitus retraining therapy
Diving medical
Transcutaneous oximetry
Other (please specify)
Please rate the service you received and share your comment or suggestions.
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Excellent
Good
Fair
Poor
Not applicable
Comment or Suggestions
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Q3.How would you rate the clarity and efficiency of your medical assessment process?
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Very efficient
Mostly clear
Somewhat confusing
Inefficient
Not applicable
Q4. How satisfied were you with the explanation and approach you received?
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Very satisfied
Satisfied
Neutral
Dissatisfied
Not applicable
Comment or Suggestions
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Q5. Was the receptionist welcoming and helpful?
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Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Q6. How long did you wait before being seen?
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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.
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Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Q8. Did our clinicians clearly explain your diagnosis and treatment plan?
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Yes, very clearly
Mostly
Somewhat
Not really
Not at all
Q9. Were you treated with dignity, respect and thoughtfulness?
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Strongly agree
Agree
Disagree
Strongly disagree
Q10. Was it easy to make a booking and find the clinic?
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Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
Q11. How would you rate your overall experience at our clinic?
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Excellent
Good
Fair
Poor
Q12. How likely are you to recommend our clinic to others?
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Definitely
Probably
Might or might not
Probably wouldn’t
Definitely wouldn’t
Q13. What could we improve?
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Submit
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