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Patient Satisfaction Evaluation Questionnaire from
Radiology and Medical Imaging Laboratory

Dear patient,

We are aware that we can exist only if our services satisfy your needs and expectations,
in this case we ask if you would be so kind as to answer the questions in the following questionnaire.

The answers are anonymous and are important for improving the quality of services!

1. Gender:*

3. Residence environment:*

4. Level of professional training:*

5. What services did you seek from the radiology laboratory?*

6. Did you schedule for this investigation?*

7. Were you informed about your rights as a patient?*

8.1 Please rate the cleaning services:*

8.2 Please rate the staff attitude:*

8.3. Please rate the time allocated by the doctor for your consultation*

8.4. Please rate the quality of medical care provided by the doctor*

8.5. Please rate the quality of medical care provided by the nurse*

8.6. Please rate the kindness of the medical staff*

9. Were you instructed about the investigation you underwent?*

10. Your general impression:*

11. If necessary to return, would you choose the same hospital?*

12. Do you consider that your rights as a patient were respected?*



* - Required questions