1. Is this a random visit or did you have an appointment at our facility?
2. How did you find the person handling the doctor’s appointment?
3. Was the appointment scheduled within a reasonable period of time?
4. How satisfied were you with the healthcare personnel like doctor’s assistant or nurse?
5. Did the hospital personnel provide you with complete information?
6. Was the staff well informed regarding all your queries?
7. How much time did you have to wait for the healthcare person to come and assist you?
8. Were you satisfied with the billing procedure?
9. How many times have you visited our health facility?
10. Please state anything that we can do to improve our service.