SUGGESTIONS PLEASE RATE US ON EACH OF THE FOLLOWING ITEMS Please enable JavaScript in your browser to complete this form.NameAdress PhoneEmailPrimary medical nameHMO How did you think of today's event?BadRegularGood Excellent What health topics would you like to hear? What other activities would you like at the event?SuggestionsPhone Service (Appointments/General)ExcellentGoodRegular DeficientReception (Entry / Exit)ExcellentGoodRegular Deficient Reception (Waiting Time)ExcellentGoodRegular Deficient Punctuality (Without exceeding 30 minutes of waiting) ExcellentGoodRegular Deficient Assignment of new appointments (when leaving consultation) ExcellentGoodRegular DeficientCoordination in references (issuance) ExcellentGoodRegular Deficient Service hours ExcellentGoodRegular DeficientCleanliness and order of the facilities ExcellentGoodRegular Deficient Diagnostic Center (Labs-EKG-RX-Sonograms)ExcellentGoodRegular DeficientInformation when entering consultation ExcellentGoodRegular DeficientInformation when checking outExcellentGoodRegular DeficientMedication Coordination ExcellentGoodRegularDeficient Referral CoordinationExcellentGoodRegular DeficientPrimary doctor Suggestions and commentsSend
