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Patient Satisfaction Template 3 -Form Fill
Q1
Which doctor was looking after you during your stay in our hospital?
Q2
Do you think the doctor was attentive and listened to your problems patiently?
Yes
At times
No
Q3
Did you visit any other doctor before our treatment?
Yes
No
Q4
Do you think the doctor provide you with appropriate medication?
Yes
Somewhat
No
Q5
Do you think any other doctor would have treated you better?
Yes
No
Q6
Do you think your Doctor was punctual?
Yes
At times
No
Q7
Do you think your doctor gave you more medication than what was required?
Yes
Somewhat
No
Q8
Are you satisfied with the service of doctor, during your stay in our hospital?
Extremely satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Extremely dissatisfied
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