INTERNATIONAL PATIENT SATISFACTION SURVEY Leave this field blank. Service Type: Peak Treatment Other Other: Dear Patient, We value your feedback as we strive to improve the quality of healthcare services we provide to international patients at our facility. Please answer the following questions, evaluating your experience with our services. EVALUATION 1 = Not very satisfied | 2 = Not satisfied | 3 = Undecided | 4 = Satisfied | 5 = Very satisfied Subject of Evaluation 1 2 3 4 5 1. I was satisfied with the appointment scheduling process. Choose your score. 1 2 3 4 5 2. I was satisfied with the patient admission process. Choose your score. 1 2 3 4 5 3. I was pleased with the staff's approach. Choose your score. 1 2 3 4 5 4. Sufficient information was provided regarding healthcare services. Choose your score. 1 2 3 4 5 5. Sufficient support was provided regarding communication. Choose your score. 1 2 3 4 5 6. I was satisfied with the examination/treatment process. Choose your score. 1 2 3 4 5 7. The care taken to protect patient privacy was adequate. Choose your score. 1 2 3 4 5 8. I was satisfied with the waiting time. Choose your score. 1 2 3 4 5 9. I was satisfied with the overall cleanliness of the facility. Choose your score. 1 2 3 4 5 10. I was satisfied with the post-treatment information provided. Choose your score. 1 2 3 4 5 11. Overall, I was satisfied with the service I received from your healthcare facility. Choose your score. 1 2 3 4 5 OPEN-ENDED QUESTIONS What were you most satisfied with regarding our healthcare facility? Is there anything you'd like to see improved? Do you have any other comments or suggestions? Would you recommend us to others? Yes No I'm undecided. Optional for patients completing the survey: Country: Note: The survey results are used to evaluate and improve the quality of healthcare services and patient satisfaction. Submit Survey Your opinions, requests, and suggestions. You can share your opinions, requests, complaints, and suggestions with us through the form below. Applicant * The Patient HimselfPatient's Relative Name Surname * Telephone Email You must fill in at least one of the phone or email fields. Subject of Application * Please select the subject of your application.OpinionRequestComplaintSuggestion Explanation * I consent to the processing of my personal data for the purpose of evaluating my application and contacting me if necessary. Δ