Clinic Feedback Form Clinic Feedback Your Sex*MaleFemale Please select how well we are doing in the following areas. (Great – 5, Good – 4, OK – 3, Fair – 2, Poor – 1) Ease of getting care Ease of making an appointment*54321 Suitability of appointment time*54321 Clinic opening times*54321 Clinic location*54321 Prompt return on calls*54321Waiting Time in waiting area*54321 Time in clinic area*54321 Waiting time for tests to be performed in clinic*54321 Waiting time for test results*54321Staff Provider (Consultant, Sonographer, Midwife) Listens to you*54321 Takes enough time with you*54321 Explain what you want to know*54321 Gives you good advice and treatment*54321Nurse Friendly and helpful to you*54321 Answers your questions*54321Office Staff Friendly and helpful to you*54321 Answers your questions*54321Payment What you pay (Value for money)*54321 Explanation of charges*54321 Collection of payment/money*54321Facility Neat and clean Clinic premises (Spire Cardiff Hospital)*54321 Ease of finding where to go*54321 Comfort and Safety while waiting*54321 Privacy*54321Confidentiality Keeping my personal information private*54321Recommendation Likelihood to recommend a friend or relative to us*54321 Please tick this box if you are happy for us to publish your comments anonymously 1 + 0 = ? Please prove that you are human by solving the equation * {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn more{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn more{{/message}}Submitting… Exit mobile version
