Patient Feedback
- 1 of 3
* Indicates required field
Dear Patient,
Welcome to New Hope Fertility Center. We would like to kindly ask you to fill out this short survey. It would help us to continue to provide and improve the highest quality medical care. We greatly value your opinions and comments.
Overall, how satisfied are you with your experience with
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
1.
Waiting time
2.
Registration process
3.
Support from the staff
4.
Ultrasound exam
5.
Blood drawing
6.
Promptness in returning your phone calls
7.
Consultations with the doctor
8.
IVF procedures
9.
Did our staff members, …
(Select all that apply )
Dr.Zhang
Dr.Chang
Dr.Yang
Nurse / Medical Assistant
Financial Coordinator
Front Desk Person
Quickly identify any problem you had?
Appear knowledgeable and competent?
Help you understand the cause and the solution to the problem?
Handle issues with courtesy and professionalism?