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Name
eMail
HOME-ADRESS Contry/City
HOLIDAY ADRESS Location, City/Hotel
Date of treatment/surgery
Where were you a patient?
sportclinic Imst
rehaclinic Imst
sportclinic Sölden
reha Aqua Dome
sportclinic Zillertal
Reason for your visit?
examination, diagnosis
operation
rehabilitation
HOW DO YOU ASSESS THE TREATMENT? ...examination, diagnosis, operation, follow-up treatment, rehabilitation, physiotherapy, logopedics, ergotherapy?
* * * * * excellent
* * * * good
* * * fair
* * not good
* unsatisfactory
HOW DO YOU ASSESS THE ORGANISATION? ...information, management of appointments, waiting time, offer, information about costs?
* * * * * excellent
* * * * good
* * * fair
* * not good
* unsatisfactory
What did you particularly like about medalp?
What do you think should be improved?
What would you like to tell our doctors and care personnel who looked after you?
thank you
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