Comment on patient management

Thank you for reporting on your satisfaction with our patient management
Your comments and appreciations are very welcome and will help us to improve our service.
We guarantee a complete confidentiality. Only Dr Dubert will have access to your comments.
The satisfaction questionnaire below may be helpful, but you don’t need to fill it out entirely. Suggestions are appreciated for each line, free comments are also possible at the end of the questionnaire.
The questionnaire may be signed or stay anonymous at your convenience.

Very unsatisfiedUnsatisfiedNo opinionSatisfiedVery satisfiedSuggestions
Phone accessibility
Information given by secretary before consultation
Information about the fees before consultation
Secretary welcome in consultation
Doctor’s welcome in consultation
Capacity to explain your case to the doctor
Administrative efficiency
Waiting time in consultation
Day surgery department
Free comments
Your name
Your contact no