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PATIENT SATISFACTION SURVEY

Clinical Questionnaire

We place great importance on your feedback so that we can provide you with a better service. We would be very grateful if you could share your experience with us by completing our survey. Your responses will be used solely to improve the quality of our service.

Demographic Information

Name*
Surname*
Gender*
Education Status *
Age*
Outpatient Clinic* he visited
Survey Participants*

General

Question
Very Easy
Easy
Difficult
Very Difficult
1How easy was the appointment-booking process for you?*
2If you found it difficult to book an appointment, what sort of difficulty did you experience?
Question
Very Good
Good
Middle
Weak
3How attentive was the doctor’s assistant who was with you?*
4How would you rate the approach and care shown by the staff looking after you at our clinic?*
Question
Very Satisfied
Satisfied
Middle
Not Satisfied
5How satisfied are you with the waiting time?*
6Please select the doctor who is treating you*
Question
Dr.
Murat
Beyazıt
Dr.
Fulya
Çebi Beyazıt
Spe. Dr.
Gizem
Çebi Mahramlı
Dr.
Hazal
Arslan Tiryaki
Spe. Dr.
Alaaddin
Avcı
Spe. Dr.
Kemal Can
Çalıoğlu
Spe. Dr.
Esra
Arılı Öztürk
Dt. Ata
Batuhan
Bayrak
Dr.
Eda Nur
Toprak
Dr.
Gülşah
Duran
Question
Very Good
Good
Middle
Weak
7What is your opinion of your doctor’s attentiveness and the explanations they provided in response to your questions?*
Question
Very Satisfied
Satisfied
Middle
Not Satisfied
8Overall, how satisfied were you with your treatment?*
Question
Very Clean
Clean
Middle
Not Clean
9What is your assessment of the cleanliness, tidiness and service in the clinic?*
Question
Definitely
I will
I will
I’m undecided
I won’t
10Would you recommend our clinic to your family and friends?*
11How did you hear about our clinic?*
Question
Google
Search
Artificial Intelligence
(ChatGPT / Gemini)
Instagram
Friend /
Recommendation from a Relative
Off the road
In passing
Brochure /
Poster
Event
or Trade Fair
Other
12Do you have any other comments or suggestions you’d like to share regarding your experience at our clinic?