SATISFACTION SURVEY

Because we always want to improve our services, please fill in the form below to assist us in this process:

Where did you hear about WEST EYE HOSPITAL:

Newspapers

TV

 Outdoor advertising (billboards)

 Metro advertising

 I received a leaflet / flyer

 I live in the area

 Recommendation

Other sources

Are you satisfied with our services?

 YES NO

De ce?

Are you satisfied with our medical and administrative staff?

 YES NO

Why?

What do you think should be changed or improved in WEST EYE HOSPITAL services?

Recommendations

Age