Survey — VIP Concierge Care

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Survey

From VIP Concierge Care, we would like to thank you for choosing our services. Please complete this survey and provide feedback on your VIP Concierge Care service, so we can better serve you in the future.

Name *

First Name

Last Name

Q1. On a scale 1-10, how likely would you recommend VIP Concierge Care nursing to a friend or colleague? *

Q2. What was the main reason for the answer you gave above? *

Q3. What was the most important part of your aftercare? *

Please select all that apply.

Nutrition

Pain management

Anxiety relief

Companion support

Professional knowledge & care

Other

If other, please specify.

Q4. Who was your primary VIP Concierge Care nurse? *

Q5. Did you feel well supported before you had your surgery? *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Q6. Did you receive professional and knowledgeable care from your nurse? *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Q7. Where did you hear about VIP Concierge Care? *

Social Media

Friend or Colleague

Flyer

Doctor Referral

Other

Please add additional comments here.

Thank you for providing us with information that we can use to create an even better experience for our patients!

VIP Concierge Nursing Care Inc.

650-465-4079

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