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Patient survey
Help us to become better!
Your opinion is important to us. It's the only way we can get better every day. Please answer the following questions:
1.
Today's date:
Please enter today's date.
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
2.
Which doctor has treated you
today?
(Required.)
Prof. Dr. Marcel Wainwright
Dr. Paul Lee
Prof. Dr. Frank Nothdurft
Dr. Jens Ehninger
Dr. Horst Viehmann
Dr. Sarah Gregor
3.
My practitioner today was friendly.
unfriendly
1 star
2 stars
ok
3 stars
4 stars
very friendly
5 stars
4.
My present practitioner seemed competent.
incompetent
1 star
2 stars
ok
3 stars
4 stars
very competent
5 stars
5.
My present practitioner took enough time to listen to my concerns.
no
1 star
2 stars
more or less
3 stars
4 stars
yes
5 stars
6.
The assistant was friendly.
(Required.)
unfriendly
1 star
2 stars
reasonably friendly
3 stars
4 stars
very friendly
5 stars
7.
The receptionist was friendly.
(Required.)
unfriendly
1 star
2 stars
reasonably friendly
3 stars
4 stars
very friendly
5 stars
8.
My concerns were dealt with quickly.
no
1 star
2 stars
more or less
3 stars
4 stars
yes
5 stars
9.
How do you rate the opening hours?
Absolutely unsuitable for me.
1 star
2 stars
neutral
3 stars
4 stars
The opening hours are ideal.
5 stars
10.
The practice is easily accessible by telephone.
no
1 star
2 stars
more or less
3 stars
4 stars
yes
5 stars
11.
How do you rate the practice in terms of cleanliness?
soiled
1 star
2 stars
more or less clean
3 stars
4 stars
very clean
5 stars
12.
Do you feel protected in our practice with regard to Covid-19?
No. It should be done more.
1 star
2 stars
more or less
3 stars
4 stars
I feel well protected at INTEGRA.
5 stars
13.
The price-quality ratio at INTEGRA is reasonable.
not appropriate
1 star
2 stars
reasonably appropriate
3 stars
4 stars
appropriate
5 stars
14.
Overall, how would you rate your visit with us today?
(Required.)
1 star
1 star
2 stars
3 stars
3 stars
4 stars
5 stars
5 stars
15.
If you did not like the visit to the practice, what was the reason?
16.
"I would like to receive regular information by mail and agree to my data being stored and used for this purpose."
Title
First name | last name
email