Customer Satisfaction Survey

Hospital Name, Contact Details (optional)

Professionalism/courtesy of staff at point of enquiry?
Very SatisfiedSatisfiedNot SureUnsatisfiedVery Unsatisfied

Understanding of your requirements and needs?
Very SatisfiedSatisfiedNot SureUnsatisfiedVery Unsatisfied

Knowledge of Future Medical personnel?
Very SatisfiedSatisfiedNot SureUnsatisfiedVery Unsatisfied

Professionalism, courtesy & appearance of staff on site?
Very SatisfiedSatisfiedNot SureUnsatisfiedVery Unsatisfied

Timeliness of services provided?
Very SatisfiedSatisfiedNot SureUnsatisfiedVery Unsatisfied

Accounting and administration?
Very SatisfiedSatisfiedNot SureUnsatisfiedVery Unsatisfied

Would you use Future Medical again?
YesNoNot Sure

Do you have plans to replace equipment in the next twelve months?
YesNoNot Sure

On a scale of 1 to 10. How would you rate the overall service provided by Future Medical based on 10 being Excellent and 1 being Poor?
10987654321

Comments or Questions:

I would like to subscribe to updates from Future Medical.
Under no circumstances will we sell your data or pass them on to unauthorised third parties.