Patient Satisfaction Survey – Benin Medical Care
Your Information
Full Name
Phone Number
Email Address
1. How satisfied were you with the care you received?
*
Very satisfied
Satisfied
Neutral
Dissatisfied
2. How would you rate the professionalism of our staff?
*
Excellent
Good
Fair
Poor
3. Were your questions or concerns adequately addressed?
*
Yes
No
Partially
4. Was the hospital environment clean and comfortable?
*
Yes
No
5. Would you recommend our hospital to others?
*
Yes
No
6. Additional comments or suggestions
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