Skip to content
[email protected]
[email protected]
Tel +27 76 242 0027
BOOK ONLINE
Home
Medical Gynae
All Treatments and Conditions
Procedure Fees
Aesthetic Gynae
All Conditions Treated
Aesthetic Procedure Fees
Patient Info
About Dr Novikova
Your First Visit
Patient Satisfaction Survey
Having Surgery
Medical Resources
Financing
Referring Specialist Services
Blog
Contact
Patient Satisfaction Survey
Home
/
Patient Satisfaction Survey
Patient Satisfaction Survey
admin
2021-07-05T09:58:25+00:00
Patient Satisfaction Survey
1. Overall, how satisfied were you with your last visit to our office?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not satisfied at all
2. How did you book your appointment?
Online
Phone
Email
3. How was your experience when booking an appointment with Dr Novikova?
Excellent
Very good
Good
Fair
Poor
4. Overall, how would you rate the service you received at the reception area of our office?
Excellent
Very good
Good
Fair
Poor
5. Did your appointment with your provider start early, late or on time?
10 or more minutes early
Less than 10 minutes early
On time
Less than 10 minutes late
10 or more minutes late
6. How well did your provider listen to your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
7. How well did your provider explain your treatment options?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
No treatment was required
8. How well did your provider explain your follow-up care?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
No follow-up care was required
9. How likely is it that you would recommend your provider to a friend or family member?
1
2
3
4
5
6
7
8
9
10
10. How satisfied are you with the cleanliness and appearance of our facility?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
11. Is there anything we could have done to improve your last visit?
Submit
Go to Top