Medical Tourism Service Evaluation Form
Full Name
Email Address
Nationality
Service Received
Consultation
Surgery
Check-up
Treatment
Other
How did you find out about us?
Friend/Family
Internet Search
Travel Agency
Social Media
Other
Rate the following aspects:
Communication and Support
1
2
3
4
5
Medical Professionalism
1
2
3
4
5
Facility and Equipment
1
2
3
4
5
Travel Assistance
1
2
3
4
5
Additional Comments or Suggestions
Would you recommend our services to others?
Yes
No
Maybe