DALPASSO centre where you were seen *

Reggio EmiliaMilanPaduaFlorenceCatania

How long have you been our patient? *

Less then a yearMore then a year

How do you get to our centre? *

CarTrainPlaneOther

Surname and Name *

How old are you?

Male or Female? *

FM

Profession

HOW WOULD YOU RATE THE SEVICES DESCRIBED:

Speed for making an appointment

PoorNormalGoodExcellent

Length of time in waiting room

PoorNormalGoodExcellent

Quality of time in waiting room

PoorNormalGoodExcellent

Competence of receptionists

PoorNormalGoodExcellent

Helpfulness and courtesy of receptionists by telephone

PoorNormalGoodExcellent

Helpfulness and courtesy of receptionists in person

PoorNormalGoodExcellent

Overall professionalism of reception

PoorNormalGoodExcellent

Technical competence of ocularists

PoorNormalGoodExcellent

Helpfulness and courtesy of ocularists

PoorNormalGoodExcellent

Overall professionalism of ocularists

PoorNormalGoodExcellent

Level of discretion and privacy

PoorNormalGoodExcellent

Clarity and completeness of documentation on how to maintain the prosthesis

PoorNormalGoodExcellent

Clarity and completeness of documentation on assistance covered by the national health service

PoorNormalGoodExcellent

General centre services (comfort, accessibility, hygiene, etc.)

PoorNormalGoodExcellent

Clarity and completeness of our website

PoorNormalGoodExcellent

Overall opinion of our centre

PoorNormalGoodExcellent

PRIVACY

The undersigned acknowledges the information notice provided pursuant to Art. 13 of Legislative Decree 196/2003 and provides consent for their personal data to be processed for the aims indicated and to be subject to communication to the parties and for the purposes stated.
I ACCEPT