Patient questionnaire

How do you assess the work of the registry ?*

Satisfactorily
Unsatisfactorily

Have you had any problems in the process of making an appointment with a doctor?*

Yes
No

How do you assess the promptness of the provided medical service?*

Satisfactorily
Unsatisfactorily

Time spent in the waiting room:*

Less than 15 min.
More than 15 min.
more than 1 hour

The comfort of staying in our Center (convenience, aesthetics, the waiting time, availability of visual information, etc.)*

Fully met expectations
Generally met expectations
Below expectations

Are you satisfied with your attending physician?*

Yes
Not completely
No

If you are not satisfied or not completely satisfied with the attending physician, please indicate the reason for your dissatisfaction*

Lack of attention to patients
Tactless behavior towards patients
Insufficient, in your opinion, competence in the treatment of your disease
Other reason

How do you assess the work of the medical staff of our Center?*

Satisfactorily
Unsatisfactorily
Your comments

If you had any important questions to your doctor or nurse, have you received complete information?*

Yes
No
Everything was clear to me

Are you informed that in a certain percentage of cases, in the first 10-14 days after radiation therapy, there may be some deterioration of the condition, followed by improvement in 3-4 weeks?*

Yes
No

Have the doctors or nurses provided all the information to your family members necessary to help you recover?*

Yes, definitely
Yes, to some extent
No
I underwent treatment unaccompanied by relatives and friends

Has the attending physician explained about the prescriptions of medications that you should have taken?*

Yes, definitely
Yes, to some extent
No
No medication prescribed

Have you been warned about possible complications and side effects during treatment?*

Yes
No

Have you noticed any shortcomings in the organization of the treatment? If so, what?*

Please leave feedback and your suggestions for improving the quality of medical services:*

The «UMIT» International oncological Center of TomoTherapy LLP is the first medical center in Central Asia using the most modern, innovative and highly effective technologies for the diagnosis and treatment of oncological diseases in outpatient practice.