Patient Comments and Suggestions

We would be grateful if you would kindly complete our questionnaire / survey to help us improve our service.

Please answer the questions as best as possible it and press submit at the bottom of the form.

 

Your Name (optional)

Your Email (optional)

Your Address (optional)

1) Booking your appointment

a. Did you obtain all the information you needed about your appointment before you attended the clinic?
YesNo

Comments


2) Your appointment

a. Did your appointment start on time?
YesNo

>b. If 'No' how long did you have to wait?

1-15 Minutes16-30 minutesover 30 Minutes

c. Did you feel you had enough time with the doctor?
YesNoN/A

d. Did you feel you had enough time with the nutritionist?
YesNoN/A

e. How would you rate the approachability of the doctor?
ExceptionalVery GoodAveragePoorNot at all

f. How would you rate the approachability with the nutritionist?
ExceptionalVery GoodAveragePoorNot at all

g. How would you rate the knowledge of the doctor?
ExceptionalVery GoodAveragePoorNot at all

h. How would you rate the knowledge of the nutritionist?
ExceptionalVery GoodAveragePoorNot at all

i.Did you have time to ask the doctor all the questions you wanted to ask?
YesNoN/A

j. Did you have time to ask the nutritionist all the questions you wanted to ask?
YesNoN/A

k. Did you get satisfactory answers to your questions from the doctor?
YesNoN/A

l. Did you get satisfactory answers to your questions from the nutritionist?
YesNoN/A

m. Did you feel the doctor was professional in his approach?
ExceptionalVery GoodAveragePoorNot at all

n. Overall how happy were you with your appointment at the clinic?
ExceptionalVery GoodAveragePoorNot at all

Comments


3) Ammenities

a. Did you feel the waiting area environment was relaxing enough?
YesNo

b. Did you feel the cloakroom/toilet facilities were clean enough and usable?
YesNo

Comments


4) Environment for Vitamin C and Ozone treatments

a. Did you have intravenous vitamin C and/or Ozone at the clinic?

(if no please go to next section: section 5)
YesNo

b. Did you feel the room was appropriate for the Vitamin C treatment you received?

(i.e. equipment and size of room)
YesNo

c. Was the room clean and the atmosphere friendly?
ExceptionalVery GoodAveragePoorNot at all

Comments


5) Future appointments and aftercare

a. How many times in total have you had a formal appointment with the doctor?

b. How happy are you with the after care, and follow up post your initial appointment?
ExceptionalVery GoodAveragePoorNot at all

c. If you only came to the clinic for the initial consultation would you have welcomed the clinic telephoning you to offer advice without you asking for it after this consultation?
YesNoNot Sure

d. If you only came to the clinic for the initial consultation what was/were the reason(s) for you not having any future contact with the clinic?

e. Would you recommend this clinic to others?
YesNo


6) Accomodation

a. Did you stay in one of the flats at the clinic?
YesNo

​​​​(If not please go to section 7 )

b. In which flat did you stay?
SmallLarge

c. How would you rate the availability of amenities in the flat?
ExceptionalVery GoodAveragePoorNot at all

d. Is there anything else that you think should be available in the flat in where you stayed?

e. How would you rate the cleanliness of the flat?
ExceptionalVery GoodAveragePoorNot at all

f. Any further comments about the accommodation?


7) General Comments

a. Is there anything else that you would like to add about your experience of the Vision of Hope Clinic or anything you feel would improve the clinic?


Thank you for taking the time to fill in this form