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Patient Questionnaire

Patient Questionnaire for the “InSalus”:

1.Can you describe your judgment on the “InSalus” card and what you have valued the most about this program?

2.How would you classify the secretarial and administrative service of the “InSalus” card (Reservations, meeting organization, and communication with the “InSalus” staff)?

3.Has the quality of medical service been up to standard?

4.What would you suggest to improve the service?

5.Do you think the “InSalus” card is the right product to give you the security of your health?

6.If YES, what have you valued the most?

7.If NO, what is your suggestion?

8.Would you willingly recommend the “InSalus” card to your family or friends?

9.Please provide an overall rating of the progress of the “InSalus” program and the impact it has had on your health and life?

Thank you for your time and effort in completing this questionnaire!