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Full Name
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Which doctor attended to you?
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How would you rate us in medical terms?
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Excellent: The treatment I received fully met my expectations, and I am very satisfied with the results.
Good: The treatment was generally satisfactory, but there were some aspects that could be improved.
Fair: I experienced some concerns or dissatisfaction during the treatment.
Poor: The treatment did not meet my expectations, and I am dissatisfied with the results obtained.
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How would you rate our customer service?
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Excellent: The staff was extremely friendly, attentive, and helpful at all times.
Good: In general, I received adequate care, though there were some areas that could be improved.
Fair: There were aspects of the customer service that left me dissatisfied or unhappy.
Poor: The customer service was deficient and did not meet my expectations.
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What do you think about the image of our clinic?
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Professional and attractive: The clinic has a modern and professional appearance that conveys confidence.
Acceptable: The clinic’s image is acceptable, but it could be improved to provide a more pleasant experience.
Poor: The clinic’s image is unattractive or neglected, which negatively affects my perception.
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How would you rate the cleanliness of our facilities?
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Impeccable: The facilities were impeccably clean and well-maintained.
Acceptable: In general, the facilities were clean, but I noticed some details that could be improved.
Needs improvement: The cleanliness of the facilities did not meet my expectations and could be significantly improved.
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How would you describe the treatment received by our staff?
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Friendly and courteous: The staff was extremely friendly, courteous, and concerned about my well-being.
Professional but distant: While the treatment was professional, I felt a lack of warmth in the interaction with the staff.
Unfriendly or brusque: I experienced unfriendly or brusque treatment from the staff, which affected my experience at the clinic.
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What has been your overall experience in our clinic?
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Very satisfying: My experience in the clinic was excellent in all aspects, and I am completely satisfied.
Acceptable: In general, my experience was satisfactory, although there were some aspects that could be improved.
Unsatisfactory: I experienced various problems or dissatisfaction during my visit to the clinic, which negatively affected my experience.
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Would you recommend us to family or friends?
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Yes: I would definitely recommend your clinic to family or friends based on my positive experience.
No: I would not recommend your clinic to family or friends due to my negative experiences.
Maybe: I am undecided or need more time to consider whether I would recommend your clinic.
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Is there anyone on the team you would like to commend?
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Is there anything you believe we should improve or implement?
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Is there anything else you would like to share about your experience with us?
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