We greatly appreciate and value your feedback!

Visiting a medical practice is never an enjoyable occasion, since it always entails illness, pain or a general sense of discomfort. It is exactly for these reasons that we try our hardest to make your visit and entailing treatment in our premises as pleasant as possible.

We are fully aware that not everything that we as a medical team regard as being the best service possible is also effectively seen by you, our patient and client, in the same light. It is for this very reason that we are dependent on your judgement and feedback: Continuously providing excellent service quality is our daily goal. There is nothing which is so good that it cannot be further improved.

Please help us to continue to be your preferred medical partner and practice by answering the following questions, either anonymously or signed with your name, as you prefer.

Age *

Male

Female

Occupation *

I am insured as follows: * Privately, Social Health Insurance

Insurance *

In regular medical treatment? * No, Yes

Regular patient in our practice? * No, Yes

First-time patient in our practice? * No, Yes

Please evaluate the following:

The ease of reaching our practice by telephone

Accessibility by public transport

Accessibility by car / parking possibilities

Accessibility for disabled patients

Please tell us your ideas for improvement concerning accessibility in the field below.

Please evaluate the following:

Waiting time for an appointment

Waiting time in the practice

Waiting time with a fixed appointment

Waiting time without a fixed appointment

Practice opening hours

General atmosphere

Friendliness of our team

Treatment by our team

Waiting room fitting and furnishing

Practice fitting and furnishing

Practice cleanliness

Please tell us your ideas for improvement concerning our practice and waiting times in the field below.

Please evaluate your treatment according to the following criteria:

Friendliness

Medical expertise

Time available for an intensive consultation

Information about available services

Thorough check-up and analysis

Examinations through laboratory and medical equipment

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Certificate of illness (work incapacity)

Information about alternative forms of treatment

Medical house calls

Please tell us your ideas for general improvement in the field below.

Please evaluate your personal impressions concerning:

The different forms and steps of treatment are aligned with each other. * No, Yes

You receive a personal treatment and are consistently well informed. * No, Yes

You would recommend our practice to a third party. * No, Yes

If you would like to tell us your name, please do so here.

Safety query *

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If you wish, you may also print the filled-out document and drop it into the letter-box in our waiting room during your next visit to our practice.
Thank you very much indeed for taking your time to help us improve our service level!

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