Assessment Form

Name*

Reception quality*

Efficiency and courtesy of staff*

Is the information provided by professionals clear and easy to understand?*

Waiting time before surgery*

Did you feel safe?*

Management of your record*

Follow-up after surgery or treatment*

Would you recommend our clinic?*

If so, would you be willing to share your review and comments on the RateMDs medical referral website? (Can be done anonymously)*

If you wish, we can transmit them directly to RateMds for you.*

Comments

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Your opinion is important to us!