爱博恩妇产医院客户满意度调查表

Guangzhou iBorn Women's & Children's Hospital Customer Satisfaction Questionnaire

  • 姓名

    Name

    *

  • 就诊日期

    Visiting Date

    *

  • 就诊科室

    Outpatient Clinic

    *

  • 就诊医生

    Visiting Physician

    *

  • *

    1

    您对此次就诊的整体感受如何?

    How is your overall experience about this visit?

    非常满意

    Very Satisfied

    满意

    Satisfied

    一般

    Relative Satisfied

    不满意

    Dissatisfied

  • *

    2

    您对您看诊医生满意程度如何?

    Are you satisfied with the visiting physician?

    非常满意

    Very Satisfied

    满意

    Satisfied

    一般

    Relative Satisfied

    不满意

    Dissatisfied

  • *

    3

    您对门诊护士的服务是否满意?

    Are you satisfied with the nurses’ service?

    非常满意

    Very Satisfied

    满意

    Satisfied

    一般

    Relative Satisfied

    不满意

    Dissatisfied

  • *

    4

    您对客服的预约及现场服务是否满意?

    Are you satisfied with the appointment and service provided by our customer service staff?

    非常满意

    Very Satisfied

    满意

    Satisfied

    一般

    Relative Satisfied

    不满意

    Dissatisfied

  • *

    5

    您觉得我们在哪方面还需要提高?

    What aspect you think we to improve?

    都很好

    Good in Every Aspect

    环境和设备

    Environment and Facility

    医疗团队

    Medical Specialist Team

    等候时间

    Waiting Time

    隐私保护

    Privacy

    服务态度

    Service Attitude

  • *

    6

    您是否愿意向您的朋友推荐我们医院呢?

    Would you like to recommend our hospital to your friends?

    Yes

    No

  • *

    7

    您对此次就诊印象最深的是什么?有什么意见或建议?

    What impresses you the most for this visiting? What is your suggestion?