Mom & Me
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1. How did you get to know about us? *
FriendPractoDoctorSocial mediaOthers
If others (Pls elaborate)
2. How easy was it to fix an appointment with us? *
Very easyEasyNeither easy nor difficultDifficultVery difficult
If difficult (please specify)
3. How would you rate the accessibility to our center? *
Excellent accessEasily accessibleFound it difficult to locateExtremely difficult
4. How did you find our registration process? *
Very smoothEasyA bit difficultComplicated
5. What was the service you availed with us? *
Fetal medicine ultrasoundGynecologyOrthoPediatricsRadiology servicesPhysiotherapyNutrition & DieteticsGeneral MedicineLab servicesPharmacy
6. How do you rate our Doctors on the following grounds? *
InformativeSkilledCourteousPunctualExplanativeNone of the above
7. How was your experience with our front desk executive? *
Needs improvementAverageGoodVery goodExcellent [group input-front clear_on_hide] Needs improvement (please specify) [/group]
8. How would you rate our ambience?
Needs improvementAverageGoodVery goodExcellent [group input-ambience clear_on_hide] For Improvement (please specify) [/group]
9. Would you recommend our services to your friends & family? *
yesNo
10. How was your overall experience with us? *
ExcellentGoodAverageNeeds improvement
[group experience clear_on_hide] For Improvement (please specify) [/group]
11. Can you drop your suggestions as to how we could improve our services?
