In order to improve our service, we need your opinion. Please fill out this form by selecting the answer you agree with. Patient InformationGender:*MaleFemaleRelation with our clinic:*PatientParent/GuardianAge:*<1818-2526-3536-45<46+You have been our patient:*Less than 6 monthsMore than 6 monthsHow did you find out about us?*Referred by friends/relativesReferred by a doctorInternetFacebookOffice signsOtherHow satisfied are you:Phone Service:*VeryLittleNotExplanation of the treatment on the 1st appointment:*VeryLittleNotExplanation of the financial arrangements:*VeryLittleNotScheduling of your appointments:*VeryLittleNotThe way the reception serves you:*VeryLittleNotThe way the doctor treats you:*VeryLittleNotThe way the clinical Team treats you:*VeryLittleNotThe quality of your treatment so far:*VeryLittleNotExplanation of the treatment so far:*VeryLittleNotWaiting time:*VeryLittleNotComfort in the waiting area:*VeryLittleNotWorking hours of our clinic:*VeryLittleNotProfessionalism in general of our clinic:*VeryLittleNotOn a 1-10 scale, how likely are you to recommend our clinic to your friends?*Select 1-1012345678910Is there anything else that would make your visit more enjoyable?Send Error occured. Please confirm your data and submit again:
