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Satisfaction & Perception

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Reception

Courteousness & Friendliness

Excellent Good Average Poor Very Poor

Proper Communication

Excellent Good Average Poor Very Poor

Level Of Attention Given

Excellent Good Average Poor Very Poor

Doctor

Courteousness & Friendliness

Excellent Good Average Poor Very Poor

Level Of Privacy & Confidentiality

Excellent Good Average Poor Very Poor

Explanation Of Present Condition & Treatment Option

Excellent Good Average Poor Very Poor

Nurse

Courteousness & Friendliness

Excellent Good Average Poor Very Poor

Nursing Care Time & Attention Given

Excellent Good Average Poor Very Poor

Explanation Of Procedure Aftercare

Excellent Good Average Poor Very Poor

General

Cleanliness

Excellent Good Average Poor Very Poor

Waiting Room Comfort

Excellent Good Average Poor Very Poor

Direction To Aporopriate Floor

Excellent Good Average Poor Very Poor

Overall Waiting Time In Minutes

< 10 15 20 25 >30

Would You Recommend This Center To Your Friends And Family?

Strongly Recommend Likely Recommend Neither Recommend Nor Not Recommend Unlikely Recommend Will Not Recommend

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