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MEDICLINIC PARKVIEW HOSPITAL HAS BECOME A ‘NON COVID-19’ FACILITY
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Patient Survey for Al Barsha Dialysis Centre
Patient Survey for Al Barsha Dialysis Centre
Patient Satisfaction Survey | Mediclinic Parkview Hospital
Forms
Patient Survey for Al Barsha Dialysis Centre
Name
Mobile Number
Email ID
NEPHROLOGISTS
In the last month, how often did your nephrologists listen carefully to you?
Never
Sometimes
Usually
Always
In the last month, how often did your nephrologists explain things in a way that was easy for you to understand?
Never
Sometimes
Usually
Always
In the last month, how often did your nephrologists spend enough time with you?
Never
Sometimes
Usually
Always
DIALYSIS CENTRE STAFF
In the last month, how often did dialysis centre staff check you as closely as you wanted while you were on the dialysis machine?
Never
Sometimes
Usually
Always
In the last month, how often was the dialysis centre staff able to manage problems during your dialysis?
Never
Sometimes
Usually
Always
In the last month, how often did dialysis centre staff behave in a professional manner?
Never
Sometimes
Usually
Always
DIALYSIS CENTRE
In the last month, when you arrived on time, how often did you get put on the dialysis machine within 15 minutes of your appointment or shift time?
Never
Sometimes
Usually
Always
In the last month, how often was the dialysis centre as clean as it could be?
Never
Sometimes
Usually
Always
In the last month, how often were you satisfied with the meal quality?
Never
Sometimes
Usually
Always
In the last month, how often were you satisfied with the facility including your dialysis room (machine, chair/bed, TV, AC…)?
Never
Sometimes
Usually
Always
How likely is it that you would recommend our clinic or service to a friend or colleague?
Choose here
0 Not at all likely
1
2
3
4
5
6
7
8
9
10 Extremely likely
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