Satisfaction Survey

Your opinion is very important to help us improve our services more and more! Thank you!

It’s just 10 quick questions! Less than 5 minutes…

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Full Name *

Email *

1. How did you find out about our clinic? *

Friends
Family
Google
Social Media
Passed by the place
Other

2. How would you rate the efficiency of the telephone service for scheduling and confirming your appointment? *

1
2
3
4
5

(1 = very bad / 5 = very good)

3. How would you rate our reception and welcome upon your arrival at the clinic? *

1
2
3
4
5

(1 = very bad / 5 = very good)

4. As for the quality and comfort of our facilities, how would you rate them? *

1
2
3
4
5

(1 = very bad / 5 = very good)

5. The cleanliness and conservation of the facilities, how would you rate it? *

1
2
3
4
5

(1 = very bad / 5 = very good)

6. What about punctuality in our service? *

1
2
3
4
5

(1 = very bad / 5 = very good)

7. Kindness and availability of our staff, how would you rate it? *

1
2
3
4
5

(1 = very bad / 5 = very good)

8. As for the treatment plan or diagnosis carried out by the doctor who received you, did you feel enlightened? Was there space in the consultation for you to clarify all your doubts? *

YES
NO
It could be better

9. As for the treatment performed, did it correspond to your expectations? *

1
2
3
4
5

(1 = very bad / 5 = very good)

10. Would you recommend our clinic? *

YES
NO

In your opinion, how can we improve our services? Your feedback is very important to us. *

Termos e Condições *

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