Thank you for choosing Emerald.


Our mission is to provide you excellent services and excellent healthcare, tailored to your needs, with modern facilities and with the support of a dedicated team.

Completing this questionnaire, you will be part of our team: we will discuss your comments and your suggestions and we will take action based on them.


Satisfaction Questionnaire – Emerald Clinic

    1.Some data about you (check the situation that applies to you):

    Sex:

    Age:

    Residential environement

    Last graduated school



    2. How did you find out about the Emerald Clinic?

    Thus (please specify):



    3. What was the first impression you had on entering Emerald?

    Another impression:



    4. How do you rate the attitude and the behavior of reception staff?





    5. Your impression about the doctor:





    6. Your impression about the medical assistant:





    7. Would you recommend our services to a close friend of a relative?





    8. On the whole, what is your opinion about the services received at Emerald Clinic?





    9. What improvement suggestions do you have for our Clinic, staff or procedures?



    10. If you want to give us an appreciation that we can use in the online environment (Site, Facebook), please write it here along with the initials of your name:

    Thank you for your time !


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