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Your feedback is valuable to us

Biolite Aesthetic Clinic is committed to improving the level of healthcare services provided to our patients and ensuring their continuous satisfaction. Your participation in submitting this survey is very important in identifying areas of improvement relating to services provided to you. This survey is completely confidential and anonymous.

Type of visit:
New VisitRegular Visit

Gender:
MaleFemale

Age:
18-30 y/o31-40 y/o41-50 y/o>51 y/o

Please Rate your Satisfaction with the following services

1. The process of scheduling an appointment :1 Star2 Star3 Star4 Star5 Star

2. The process of reminding a day before your scheduled appointment:1 Star2 Star3 Star4 Star5 Star

3. The service of the person in the reception1 Star2 Star3 Star4 Star5 Star

4. The cleanliness and comfort of the waiting area1 Star2 Star3 Star4 Star5 Star

5. The length of time you waited to see the therapist/doctor (10 minutes as maximum waiting period)1 Star2 Star3 Star4 Star5 Star

6. The cleanliness and comfort of the treatment room1 Star2 Star3 Star4 Star5 Star

7. The therapist/physician’s personal manner (courtesy and friendliness)1 Star2 Star3 Star4 Star5 Star

8. Level of satisfaction of therapist/physician’s knowledge and experience1 Star2 Star3 Star4 Star5 Star

9. How well the therapist / Physician listened and answers to your question / concerns and explain your condition and treatment1 Star2 Star3 Star4 Star5 Star

10. The process of settling the bill and scheduling for next appointment1 Star2 Star3 Star4 Star5 Star

11. Your overall satisfaction with Biolite service1 Star2 Star3 Star4 Star5 Star

12. Would you recommend Biolite Aesthetic Clinic to a family member/friend?YesNo

For additional comments and suggestions please use the space provided:

Your Name

Your Email

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