Outpatient Visit Survey - Department of Plastic & Maxillofacial Surgery

Thank you for taking the time to answer the following questions. We appreciate your feedback to enable us to continue to improve the services provided at the Royal Children's Hospital.

Your responses are collated in aggregate form so all information provided is anonymous.



Optional patient information
  1. Your name
 
  2. Patient's name
 
* 3. Is this your first visit to this department?
 
 
 
* 4. Were you on time for your appointment today?
 
 
 
  5. If no, please choose a reason for the delay:
 
 
 
 
 
* 6. How satisfied were you with the booking process for your outpatient appointment?
 
 
 
 
 
 
* 7. How satisfied were you with the booking/administration staff in the department?
 
 
 
 
 
 
* 8. How long did you have to wait to be seen by the doctor today?
 
 
 
 
 
  9. What can we do to make your wait (if any) more tolerable?
 
* 10. How long did you spend with the doctor?
 
 
 
 
 
 
* 11. How satisfied were you with the explanation by the doctor of your child's diagnosis and treatment plan?
 
 
 
 
 
 
* 12. How satisfied were you with explanation of follow up instructions after your appointment today?
 
 
 
 
 
 
* 13. How satisfied are you with your overall outpatient experience today?
 
 
 
 
 
 
  14. Please make any suggestions that you think will improve your experience.
 
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