QUESTIONNAIRE

Dear clients,

We have prepared an anonymous questionnaire on your satisfaction with our services.

The questionnaire is anonymous and created for the purpose of constantly improving our services.

Thank you for filling out our questionnaire.

Yours sincerely,

Institution for health care Nemetova-Prima

1. How many times have you been in Institution Nemetova-Prima:

2. How did you come across Institution Nemetova-Prima?

How?

3. Which medical examinations have you done?

Medical examination for work place with special working conditions
Medical examination for driving license
Medical examination for holding and carrying firearms
Medical examination of seafarers
Medical examination of civil, professional and sports pilots, cabin crew members, parachuters, paragliders or air traffic controllers
Medical examination for enrolling in high school or college
Medical examination of court experts
Medical examination of athletes
Medical examination of workers exposed to and persons in training to work with sources of ionizing radiation

4. How did you find out about Institution for health care Nemetova-Prima (multiple answers are possible)?

Which?

5. How would you on a scale of

5 (Excellent) 4 (Very good) 3 (Good) 2 (Poor) 1 (bad)

rate:

a) Booking and admission staff

Politeness

Speed of service providing

b) Nurses

Politeness

Professionalism and competence

Satisfaction with our medical service

c) Doctors

Politeness

Attentive listening

Professionalism and expertise

Feedback and recommendations

Satisfaction with our medical service

d) Psychologists

Politeness

Attentive listening

Professionalism and expertise

Feedback and recommendations

Satisfaction with our medical service

5. How would you rate your overall experience with Institution for health care Nemetova-Prima?

6. Would you recommend services of Institution Nemetova-Prima to others?

7. Something about you

Age

Sex

8. Comments and suggestions