Patient Satisfaction Survey
We are focused on continually improving the quality of service and care we provide to our patients. Please help us by taking 10 minutes to complete this survey. Our clinical and management teams will review the feedback and implement improvements and staff training based on your valuable comments. Thank you for your time.

What is the most important reason you gave us that score?

How important are these factors for you in your fertility care?

	Not at all important	Slightly important	Moderately important	Very Important	Extremely important	Don't know
Efficient administration process
Good communication by staff
Staff showing compassion
Communication skills of doctors
Continuity of care of the whole team - doctors, scientists, nurses, administration
Easy to get in contact with doctor via phone
Respecting privacy and confidentiality
Information: Clear not conflicting and the right amount
Good follow up after treatment

Are there any other factors you believe are important?

How satisfied were you with these factors?

	Extremely Dissatisfied 1	2	3	4	Extremely Satisfied 5
Efficient administration process
Good communication by staff
Staff showing compassion
Communication skills of doctors
Continuity of care of the whole team: doctors, scientists, nurses, administration
Easy to get in contact with doctor via phone
Respecting privacy and confidentiality
Information: clear, not conflicting and the right amount
Good Follow up after treatment

Why were you dissatisfied with 'efficient administration process'?

Why were you dissatisfied with 'good communication by staff'?

Why were you dissatisfied with 'communication skills of doctors'?

Why were you dissatisfied with 'continuity of care of the whole team doctors, scientists, nurses, administration'?

Why were you dissatisfied with 'easy to get in contact with doctor via phone'?

Why were you dissatisfied with 'respecting privacy and confidentiality'?

Why were you dissatisfied with 'information: clear, not conflicting and the right amount'?

Why were you dissatisfied with 'good follow up after treatment'?

How satisfied were you with the care from your?

	Extremely Dissatisfied 1	2	3	4	Extremely Satisfied 5	Not Applicable
Doctors
Doctor's Secretary
Nurse
Scientist
Clinic Reception
Accounts
Patient Liaison Administrators or Support officer
Counsellor

Why were you dissatisfied with the care received from your doctor?

Why were you dissatisfied with the care received from your doctor's secretary?

Why were you dissatisfied with the care received from your nurse?

Why were you dissatisfied with the care received from your scientist?

Why were you dissatisfied with the care received from your administration (clinic reception & accounts)?

Why were you dissatisfied with the care received from your patient liaison administrators?

Why were you dissatisfied with the care received from your counsellors?

To what extent did the following influence your decision on which clinic/doctor to see for treatment?

	No influence 0	1	2	3	4	Strong influence 5	Not Applicable
GP or Specialist referral
Family or friend recommendation
Google Search
Social Media
Complementary therapist recommendation

Any other influences?

Do you have any suggestions for how our service could be improved?

Thank you for your feedback we are pleased to hear you have had a good experience. Would you be interested in sharing your story? For example this could be at one of our information seminars, a case study video or with a journalist for a media story.

YesNo

Thank you, it doesn’t sound like we quite met your expectations. If you would like to discuss your feedback further please don’t hesitate to contact us. Rest assured the information you have provided will be reviewed and is valuable in helping us continually improve services and patient care.

Thank you, we are sorry we have disappointed you and not met your expectations. If you would like to discuss your feedback further please don’t hesitate to contact us. Rest assured the information you have provided will be reviewed and is valuable in helping us continually improve services and patient care.

How important are these factors for you in your fertility care?

How satisfied were you with these factors?

How satisfied were you with the care from your?

To what extent did the following influence your decision on which clinic/doctor to see for treatment?

How likely would you be to recommend our service to your friends or family?

Thank you, it doesn’t sound like we quite met your expectations. If you would like to discuss your feedback further please don’t hesitate to contact us. Rest assured the information you have provided will be reviewed and is valuable in helping us continually improve services and patient care.