Nagh Questionnaire TemplateSurvey QuestionnairePlease take a moment to fill out this form. Your feedback helps us improve our services!How did you hear about our clinic?Google searchSocial mediaReferral from a friendOnline advertisementHealth service referralDoctor referralOther:What was the main reason for your visit today?Consultation for kidney health issuesFollow-up on chronic kidney diseaseDialysis consultationHypertension managementKidney stones treatmentOther:Which online platform did you use to find us?GoogleFacebookInstagramLinkedInDid not visit the websiteHow satisfied are you with the information available on our website?Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfiedHow would you rate the waiting time for your appointment today?Very satisfactorySatisfactoryNeutralDissatisfactoryVery dissatisfactoryHow would you rate the care and professionalism of our staff today?ExcellentGoodNeutralFairPoorWas the information provided by the doctor/staff clear and helpful?Very clear and helpfulClear and helpfulNeutralSomewhat unclearUnclear and unhelpfulHow likely are you to recommend our clinic to others?Very likelyLikelyNeutralUnlikelyVery unlikelyDo you have any suggestions for how we can improve our services? (Please write your suggestions below)
How did you hear about our clinic?
What was the main reason for your visit today?
Which online platform did you use to find us?
How satisfied are you with the information available on our website?
How would you rate the waiting time for your appointment today?
How would you rate the care and professionalism of our staff today?
Was the information provided by the doctor/staff clear and helpful?
How likely are you to recommend our clinic to others?
Do you have any suggestions for how we can improve our services? (Please write your suggestions below)
