Satisfaction survey Private Midwifes Office, RIVE GAUCHE Clinic Is it the first time you are coming to our midwifes office Yes No In order to: (multiple answers are possible) Birth preparation Relaxation therapy Perineal physical therapy Pregnancy follow-up Postnatal follow-up mother-child Your satisfaction about global welcome Appointment arrangement * Very satisfied Satisfied Neutral Unsatisfied The waiting * Very satisfied Satisfied Neutral Unsatisfied The welcome at your arrival to the office * Very satisfied Satisfied Neutral Unsatisfied The premises * Very satisfied Satisfied Neutral Unsatisfied Your satisfaction about quality of care (courses or physical therapy) Courses content (complete, well detailed, etc.) * Very satisfied Satisfied Neutral Unsatisfied Courses clarity * Very satisfied Satisfied Neutral Unsatisfied Questions taken in account * Very satisfied Satisfied Neutral Unsatisfied Teaching support/materials * Very satisfied Satisfied Neutral Unsatisfied Why did you choose our office? How did you get our details? Would you recommend our office to someone? Yes No Comments and suggestions: If you would like to get in touch with us, please give us your details: Adresse email Enter an email address in the format you@provider.tld Please leave this field empty: Phone I agree to be contacted by e-mail or by telephone. * Please leave this field empty: Submit
Atelier Calin Caresse