Telemedicine Consultation Feedback Form
Name
Email
Consultation Date
Healthcare Provider
How would you rate your overall experience?
Excellent
Good
Fair
Poor
How easy was it to use the telemedicine platform?
Very Easy
Easy
Neutral
Difficult
Very Difficult
What aspects did you find helpful? (Select all that apply)
Convenience
Time Saving
Privacy
Communication
What can we improve?
Additional Comments