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  1. Surveys
  2. 2014
  3. September
  4. N
  5. New Century Wellness Group
0%
Exit Survey
 
 
Hello:
You are invited to participate in our New Century Wellness Group survey. It will take approximately five minutes to complete the questionnaire.

Your participation in this study is completely voluntary. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Getrude Muthiani at (616) 653 4545 or by email at the [email protected]

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
 
 
When was your last visit?
 
 
 
* How was the ease of making appointments by phone
 
 
 
* How was the courtesy of the person who took your call?
 
Very good
 
Good
 
Poor
 
Bad
 
 
 
During this hospital visit, how quick did the nurse or doctor attend to you?
 
Immediately
 
After a short while
 
After a long time
 
Never
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Appointment scheduling
Customer Service
Treatment
overall
 
 
 
* Would you recommend this clinic to your family or friends?
 
Yes
 
No
 
 
How would you rate the Clinic in general:
Facilities
Services
Comfort
 
 
 
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