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Patient Satisfaction Survey

Thank you for visiting Family Medical Practice. This survey is anonymous and takes less than 2 minutes to complete. Your feedback helps us improve our services and patient experience.

1Visit Information
Number of visits in the last 12 months
Services used (select all that apply)
2Appointment and reception experience
On a scale of 1-5 (1 = Very Dissatisfied, 5 = Very Satisfied), please rate the following:
The booking process was easy and convenient
Very DissatisfiedVery Satisfied
The reception staff were friendly and helpful
Very DissatisfiedVery Satisfied
The waiting time was reasonable
Very DissatisfiedVery Satisfied
3Medical care
I felt listened to and respected
Very DissatisfiedVery Satisfied
The doctor examined carefully and I clearly understood my diagnostic and treatment plan
Very DissatisfiedVery Satisfied
The nurses and medical staff were attentive and professional
Very DissatisfiedVery Satisfied
4Facilities and environment
The facilities were clean and sufficient
Very DissatisfiedVery Satisfied
The clinic environment was well organized and professional
Very DissatisfiedVery Satisfied
5Billing and transparency
The costs were clearly explained to me
Very DissatisfiedVery Satisfied
There were no unexpected charges
Very DissatisfiedVery Satisfied
6Overall experience
Overall, I am satisfied with the service received
Very DissatisfiedVery Satisfied
I would recommend Family Medical Practice to others
Very DissatisfiedVery Satisfied
I would return to Family Medical Practice for further treatment
Very DissatisfiedVery Satisfied
7Additional feedback
How can we improve your experience?