Derma Rijnmond
Opinion poll 1594962 1280

Clinic Visit Survey

At our dermatology clinic, we strive to serve you as best as possible. We would like to know how you have experienced our services so far. We would greatly appreciate it if you could fill out this short questionnaire. Your responses will help us improve any shortcomings. Completing the questionnaire will only take a few minutes of your time. Most questions can be answered by simply ticking the appropriate box. If you are unable to answer a question or don’t have an answer yet, please feel free to continue to the next question.

Gender
Male
Female
X
Age
0 to 10 jaar
10 to 20 jaar
20 to 30 jaar
30 to 40 jaar
40 to 50 jaar
50 to 60 jaar
60 to 70 jaar
70 to 80 jaar
80 +
Making an appointment.
1. The telephone accessibility of the clinic.
Good
Satisfactory
Insufficient
2. The possibilities of making an appointment on short notice.
Good
Satisfactory
Insufficient
3. The possibilities of scheduling an appointment that fits your own schedule.
Good
Satisfactory
Insufficient
4. The customer friendliness of the receptionist you spoke with on the phone.
Good
Satisfactory
Insufficient
5. The information provided by the clinic staff.
Good
Satisfactory
Insufficient
Visit to the clinic.
1. The accessibility of the clinic by bicycle, public transport, or car.
Good
Satisfactory
Insufficient
2. The signage within the clinic..
Good
Satisfactory
Insufficient
3. The maintenance of the waiting area and reception desk.
Good
Satisfactory
Insufficient
4. The privacy at the reception desk.
Good
Satisfactory
Insufficient
5. The waiting time before you were seen.
Good
Satisfactory
Insufficient
6. The information provided about any additional waiting time.
Good
Satisfactory
Insufficient
7. The scheduling of follow-up appointments that fit your own schedule.
Good
Satisfactory
Insufficient
8. The expertise of the receptionists at the reception desk.
Good
Satisfactory
Insufficient
9. The customer friendliness of the receptionists at the reception desk.
Good
Satisfactory
Insufficient
10. The safety within the clinic.
Good
Satisfactory
Insufficient
11. The information displayed on the screen in the waiting area.
Good
Satisfactory
Insufficient
12. The information about how the invoice is handled if there is no contract.
Good
Satisfactory
Insufficient
Visit to the dermatologist.
1. The friendliness of the dermatologist.
Good
Satisfactory
Insufficient
2. The time you were given to explain your complaints.
Good
Satisfactory
Insufficient
3. The interest the dermatologist showed in your complaints.
Good
Satisfactory
Insufficient
4. The explanation you received about possible treatments or follow-up investigations.
Good
Satisfactory
Insufficient
5. The options you were given to choose from among several possible treatments.
Good
Satisfactory
Insufficient
6. The impression you have of the dermatologist's expertise.
Good
Satisfactory
Insufficient
7. The condition of the examination and/or treatment room of the dermatologist.
Good
Satisfactory
Insufficient
Your overall rating
If you need to make another appointment with a dermatologist, would you choose this dermatologist ag
Yes, definitely
No, probably not
Would you recommend this dermatologist to your family, friends, or acquaintances?
Yes, definitely
No, probably not
Overall score
10
9
8
7
6
5
4
3
2
1

Glashaven 14-G, 3011 XH Rotterdam | T 010 23 321 53 | E info@derma-rijnmond.nl
Woordbouwerplein 1, 3224 XL Hellevoetsluis
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