EVALUATION QUESTIONNAIRE OF PATIENT SATISFACTION
Evaluation of work done
1. How would you rate the overall quality of medical services performed?very goodgoodsatisfactoryunsatisfactory2. How do you assess the work of our doctors and nurses teams?- careful with medical equipment in working areavery goodgoodsatisfactoryunsatisfactory- considerate with patientsvery goodgoodsatisfactoryunsatisfactory- clean, appropriate hygienic conditionsvery goodgoodsatisfactoryunsatisfactory- quality of medical examinationsvery goodgoodsatisfactoryunsatisfactory3. Medical services performed meet your requirements:- general characteristicsvery goodgoodsatisfactoryunsatisfactory- performancevery goodgoodsatisfactoryunsatisfactory4. How do you rate:- elapsed time in the waiting room?very goodgoodsatisfactoryunsatisfactory- price?very goodgoodsatisfactoryunsatisfactory- readiness to carry out medical act?very goodgoodsatisfactoryunsatisfactory- quality of medical equipment and reagents used?very goodgoodsatisfactoryunsatisfactory5. How would you assess the cooperation with SC CADEROM SRL:- the response of medical staff to the needs expressed by you?very goodgoodsatisfactoryunsatisfactory- technical information on medical activity performed?very goodgoodsatisfactoryunsatisfactory- responding to your requests / comments during the carrying out of medical services?very goodgoodsatisfactoryunsatisfactory6. Where did you learn last time about SC CADEROM SRL?newspaperradioleafletsother patientstvinternetbannersother sources7. Do you intend to collaborate in future whith SC CADEROM SRL?yesno8. Do you accept the visit of other patients for references to medical or diagnostic services performed by our company?yesno9. Proposals to improve collaboration with SC CADEROM SRL:
The questionnaire was completed by:
Name: First name: Function: Age: Diagnosis / medical service performed: Company name:
