Are you aware of FMC?
Yes
No
How often do you visit FMC?
Very Often
Often
Sometimes
Rarely
Did the healthcare provider listen to your concerns and explain your treatment options clearly?
Yes
No
Was the time spent with your healthcare provider sufficient?
Yes
No
How satisfied are you with the range of FMC services?
Excellent
Good
Average
Poor
Very poor
How satisfied are you with the overall cleanliness of FMC clinic?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
How would you rate the friendliness and professionalism of FMC staff?
Excellent
Good
Average
Poor
Very poor
How satisfied are you with the waiting time before your appointment?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
Is there any specific area where you feel FMC clinic could improve?
Do you have any additional comments or concerns you would like to share?
