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Medical Survey
Personal Information
Name
Employee ID Number
City
Name of the medical center where you had your tests performed
Survey
How satisfied are you with the service?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Rating of service speed
Very Fast
Fast
Average
Slow
Very Slow
Accuracy and completeness in filling out your report
Accurate
Inaccurate
Your satisfaction with the center's cleanliness
Very Good
Good
Neutral
Poor
Expertise of the medical staff
Excellent
Average
Poor
Were the tests performed at the same center or in multiple locations?
Same Center
Multiple Centers
Your opinion about the center and the experience, and if you have any suggestions
Submit