Teleconsultation Feedback Form
Ahana Hospitals & Research Center · Patient Experience & Review
Patient Name
*
First Name
Last Name
Phone Number
*
Doctor / Specialist Consulted
How easy was it to book your teleconsultation appointment?
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Easy
Neutral
Difficult
How satisfied are you with the doctor’s explanation and guidance during the teleconsultation?
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Satisfied
Neutral
Dissatisfied
Would you prefer teleconsultation again in the future?
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Yes
Maybe
No
What improvements would you suggest for our teleconsultation service?
How satisfied are you with the overall teleconsultation process?
*
Submit
