Everest Assistance App
Dear Patient:
We are interested in finding out how you feel about various aspects of our work. Please take a minute to complete this questionnaire. Your responses are confidential and are greatly appreciated. Thank you.
Please rate each of the following:
Name Surname
Telephone
Contact & Reservation
Where did you hear about us? InstagramWebFriend/FamilyFacebookAdvertisements
How did you schedule an appointment? InstagramWebWhatsAppFacebookTelefon
Ease of making appointments. ExcellentGoodFairPoor
Was the person who scheduled your appointment courteous and helpful? ExcellentGoodFairPoor
Response time to your questions ExcellentGoodFairPoor
Your satisfaction with our translation service. ExcellentGoodFairPoor
Your requests, complaints and suggestions:
Transportation
How was your travel experience? ExcellentGoodFairPoor
Was the car comfortable enough? ExcellentGoodFairPoor
How was the driver's performance? ExcellentGoodFairPoor
Did our transfer service meet your expectations? ExcellentGoodFairPoor
Accommodation
General quality of the hotel ExcellentGoodFairPoor
Friendliness of the hotel staff. ExcellentGoodFairPoor
The comfort of the hotel ExcellentGoodFairPoor
The performance of the room service. ExcellentGoodFairPoor
Your opinions about catering and meals. ExcellentGoodFairPoor
Did the hotel meet your expectations? ExcellentGoodFairPoor
Examination
The communication with your physican. ExcellentGoodFairPoor
The quality of the care you received ExcellentGoodFairPoor
The amount of time spent with your physican. ExcellentGoodFairPoor
How long does it take for the doctor to start caring for you? ExcellentGoodFairPoor
How was your inspection experience? ExcellentGoodFairPoor
Did you feel listened to and understood by the doctor? ExcellentGoodFairPoor
Did the doctor answer all your questions? ExcellentGoodFairPoor
Did the examination meet your expectations regarding the treatment? ExcellentGoodFairPoor
Were you satisfied with the doctor assigned to you? ExcellentGoodFairPoor
Process
How was your experience with the healthcare staff before/during/after the operation? ExcellentGoodFairPoor
Did you feel safe during the operation? ExcellentGoodFairPoor
Did you feel any discomfort or pain during the operation? YesFairNo
Was our staff understanding to your needs? ExcellentGoodFairPoor
Did the transaction meet your expectations? ExcellentGoodFairPoor
Clinic/Hospital
The convenience of the hospital/clinic location (consider travel time, Access by transportation and parking) ExcellentGoodFairPoor
The accessibility of the Office. (Is the Office easy to find, are stairs or elevators readily available, is handicapped entrance adequate, etc) ExcellentGoodFairPoor
The courtesy of the staff. ExcellentGoodFairPoor
The comfort of the examining room. ExcellentGoodFairPoor
The cleanliness of the hospital, including the reception area and examining room. ExcellentGoodFairPoor
The privacy of the physican’s consultation room and the examination room. ExcellentGoodFairPoor
What was your general impression of the Clinic/Hospital? ExcellentGoodFairPoor
How was the Clinic/Hospital regarding hygiene and cleanliness? ExcellentGoodFairPoor
What was the technical equipment of the clinic/hospital? ExcellentGoodFairPoor
Post-Processing
How did you feel after the procedure? ExcellentGoodFairPoor
Do you think you are given enough attention after the procedure? ExcellentGoodFairPoor
Did the post-processing service meet your expectations? ExcellentGoodFairPoor
Were we able to answer all your questions? ExcellentGoodFairPoor
Your Feedback
How likely are you to recommend us to your friends and family? ExcellentGoodFairPoor
How would you rate the service we offer? (1 lowest, 5 highest) 12345
What things do you think we need to improve? Type one or a few words:
We are interested in finding out how you feel about various aspects of our work. Please take a minute to complete this questionnaire. Your responses are confidential and are greatly appreciated. Thank you. Please rate each of the following:
How did you schedule an appointment? InstagramWebWhatsAppFacebookTelephone
1- Why did you choose us over our competitors? Personal experience with usRecommendation/s from friendsAdvertisingOther
2- How would you rate the quality of the service we provide? ExcellentGoodAverageSufficientInadequate
3- Did our broker keep you informed about new offers? YesNo
4- Did our broker was well informed about property? YesNo
5- Did the property always matched the discription we provide? YesNo
6- How quick was the process of implementing a trade? QuickSlow
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