Name
First name
Medical services requested at ELYTIS Hospital Package 1Package 2Package 3
Telefon
Email
Are you satisfied with the way you were examined to establish your diagnosis? Very satisfied (Score 10)Satisfied (Note 8)Dissatisfied (Note 6)Very dissatisfied (Rating 4)This is not the case.
Are you satisfied with the information and details about your medication/treatment from your doctor? Very satisfied (Score 10)Satisfied (Note 8)Dissatisfied (Note 6)Very dissatisfied (Rating 4)This is not the case.
Will you keep in touch with your doctor after the treatment is over? FromNo
Do you feel that the support staff listened carefully and gave you sufficient information? FromNo
Are you happy with how you get all the information you need from reception? Very satisfied (Score 10)Satisfied (Note 8)Dissatisfied (Note 6)Very dissatisfied (Rating 4)This is not the case.
Are you happy with the waiting space and the comfort? Very satisfied (Score 10)Satisfied (Note 8)Dissatisfied (Note 6)Very dissatisfied (Rating 4)This is not the case.
Are you satisfied with the appointment procedures at ELYTIS Hospital? Very satisfied (Score 10)Satisfied (Note 8)Dissatisfied (Note 6)Very dissatisfied (Rating 4)This is not the case.
Make a note of the medical services you receive from us. Very satisfied (Score 10)Satisfied (Note 8)Dissatisfied (Note 6)Very dissatisfied (Rating 4)This is not the case.
Do you plan to use our services in the future? FromNo
Would you recommend our medical services to other people you know? FromNo
Other comments and suggestions for improvement
