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SERVICE QUALITY SURVEY

Thank you for choosing the National Cancer Centre
We strive to provide you with the best possible service and appreciate your opinion on the services rendered to you. Your feedback is important in helping us to make continual service improvements.

Dr Nicholas Tay
Chief Operating Officer

Please choose the appropriate boxes:
Please rate the service level provided by our staff: (1 - Excellent 2 - Good 3 - Fair 4 - Poor)

APPOINTMENT BOOKING Excellent Good Fair Poor

Courtesy and attentiveness	1 2 3 4
Promptness in service	1 2 3 4
Helpfulness	1 2 3 4
Do you encounter any problem in obtaining an appointment?


COUNTER STAFF Excellent Good Fair Poor
Courtesy and attentiveness	1 2 3 4
Helpfulness	1 2 3 4
Promptness in service	1 2 3 4
Clarity of explanation	1 2 3 4

DOCTORS Excellent Good Fair Poor
Courtesy	1 2 3 4
Caring	1 2 3 4
Clarity of explanation	1 2 3 4
Quality of Medical Care	1 2 3 4

NURSES Excellent Good Fair Poor
Courtesy	1 2 3 4
Caring	1 2 3 4
Clarity of explanation	1 2 3 4
Quality of Medical Care	1 2 3 4

PHARMACY Excellent Good Fair Poor
Courtesy	1 2 3 4
Promptness in service	1 2 3 4
Clarity of explanation	1 2 3 4

DIAGNOSTIC X-RAY Excellent Good Fair Poor
Courtesy	1 2 3 4
Promptness in service	1 2 3 4
Clarity of explanation	1 2 3 4

BLOOD TESTS Excellent Good Fair Poor
Courtesy	1 2 3 4
Promptness in service	1 2 3 4

RADIATION THERAPY SERVICES Excellent Good Fair Poor
Courtesy	1 2 3 4
Helpfulness	1 2 3 4
Clarity of explanation	1 2 3 4

MEDICAL SOCIAL SERVICES Excellent Good Fair Poor
Courtesy	1 2 3 4
Helpfulness	1 2 3 4
Clarity of explanation	1 2 3 4

CLINIC FACILITIES Excellent Good Fair Poor
Comfort	1 2 3 4
Cleaniness	1 2 3 4
User-friendliness of layout	1 2 3 4

WAITING TIME
Please complete the sections below that apply to your current visit
	How long did you have to wait? How would you rate the waiting time?
	Excellent Good Fair Poor
Registration	minutes 1 2 3 4
Blood Test	minutes 1 2 3 4
X-ray	minutes 1 2 3 4
Pharmacy	minutes 1 2 3 4
Therapy/Procedure (eg chemotherapy,dressing)	minutes 1 2 3 4
To see the doctor (from appointment time given)	minutes 1 2 3 4

OVERALL SERVICE
How would you compare this visit with the previous visit?
much better better same worse than before NA

If this is your 1st visit, may we know your 1st impression


Would you recommend National Cancer Centre to your friends/relatives who may need similar services?
strongly recommend would recommend recommend with hesitation would not recommend

How can we improve further to serve you better?


Do you wish to compliment any staff members/service department for outstanding services?


PLEASE LEAVE YOUR NAME & ADDRESS FOR OUR ACKNOWLEDGEMENT ON YOUR CONTRIBUTION
TO NATIONAL CANCER CENTRE'S SERVICE QUALITY IMPROVEMENT.

Your Name* :
NRIC :
Address* :
Email :
Tel :
Date of visit :
Location:

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