Self-verified patient's Story
-
Email:
How did you hear about us?:
About the Doctor
Was the doctor polite and
considerate?Option AOption BOption COption DOption EDid the doctor listen to
what you had say?Option AOption BOption COption DOption EDid the doctor give you enough
opportunity to ask questions?Option AOption BOption COption DOption EDid the doctor answer
all your questions?Option AOption BOption COption DOption EDid the doctor explain
things in a way you could understand?Are you invloved as much as you want to be
in the decisions about your care and treatment?Did you have confidence
in your doctor?Did the doctor respect
your views?If the doctor examined you, did
he/she: ask your permission and respect you privacy and dignity?By the end of the consultaion, did you feel better able to understand and / or
manage your conditions and your care?Overall how satisfied were you
with the doctor you saw?Option AOption BOption COption DOption EGender of Patient
Is English your first language?
Who is filling out this form?
Age of Patient
Age of Patient
Comments: Very friendly and poilte made me feel at ease about my surgery and recovery since