QUALITY CARE QUESTIONNAIRE

We would like to know how you feel about the services we provide so that we can improve on those services and make sure we are meeting your needs. Your responses are directly responsible for improving these services.

All responses are kept confidential and anonymous.
Thank you for your time.

Please select how well you think we are doing in the following areas:

Very Satisfied / Satisfied / Neutral / Unsatisfied / Very Unsatisfied

1. Ease of getting care

* Indicates required field

1.1. Ability to be seen *

1.2. Prompt return of calls *

2. WAITING

2.1. Time in the waiting room *

2.2. Time in the exam room *

2.3. Waiting for test results *

3. STAFF

3.1. Our staff listened to you *

3.2. Our staff took enough time with you *

3.3. Explained what you wanted to know *

3.4. Friendly and helpful towards you *

3.5. Answered your questions *

4. FACILITY

4.1. Neat and clean rooms *

4.2. Ease of finding where to go *

4.3. Comfort while waiting *

4.4. Keeping personal information private *

5. ANY SUGGESTIONS FOR IMPROVEMENT ?

Comment *

Thank you for taking the time to complete our survey!

Submit

WESTERN AUSTRALIAN GYNAE & SURGERY

Address :
North One - 108/9 Salvado Road,
Subiaco, Western Australia 6008

Office Hours : 9 am - 5 pm
( Monday to Friday )

Phone : + 61 8 9388-3495
Fax : + 61 8 6382-3300

After Hours : via St John of God switchboard
Phone : + 61 8 9382-6111

Email :
reception@wagynaesurgery.com.au
secretary@wagynaesurgery.com.au
nurse@wagynaesurgery.com.au

All Correspondance to :
PO Box 2153, Subiaco, Western Australia 6904

Designed 2017-2024 by ERICME

EXTRA CARE FOR OUR PATIENTS