АНКЕТ ДЛЯ ОБРАЩЕНИЙ ГРАЖДАН ОНКОЛОГИИ
1. Укажите место проживания
а) Район Республики Тыва______________________________
б) город Кызыл
2. Кто вас направил?
а) самообращение б) участковый терапевт в) онколог
3.Каким способом вы попали на прием онколога?
а) обратился в регистратуру диспансера.
б) Записался через интернет
4. Ф.И.О. врача, у которого вы были на приеме
_____________________________________________________
5. Сколько дней вы ожидали очереди на прием к врачу с момента первого обращения?______________________________________
6. Сколько минут вы ожидали день приема
_________________________________________________
7. Сколько времени продолжается прием врача в минутах
____________________________________________________
8. Вы остались довольны приемом
а) да б) нет в) не вполне
9. Ответил ли онколог на все ваши вопросы?
а) да, полностью б) да, частично в) нет
10. Оцените отношение к вам онколога на приеме
а) профессионально: да, нет
б) внимательно: да, нет
11. Ваши рекомендации:___________________________________
________________________________________________________
________________________________________________________
Благодарим Вас, за участие в опросе.
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