{"flag":true,"survey":{"guid":"21288ac2-1ddc-4ba7-8da5-312bebdd4135","email":null,"title":"Clinic Performance Evaluation Survey","centerAligned":false,"dirty":false,"createdDate":"2023-03-13T19:55:41.8379218","modifiedDate":"2023-03-13T19:55:41.8379218","activePageIndex":0,"pages":[{"guid":"366c95dd-d087-4423-b392-57425212a84f","title":null,"titleDisplay":"[Page 1]","description":null,"centerAligned":false,"dirty":false,"pageIndex":0,"activeQuestionIndex":12,"deleted":false,"deletedDate":null,"questions":[{"guid":"8fe68172-bb29-4cda-8ad3-3b8183948597","questionType":"Text","title":"Thank you for taking the time to complete this survey. Your feedback is important to us and will help us improve our clinic services.","titleDisplay":"Thank you for taking the time to complete this survey. Your feedback is important to us and will help us improve our clinic services.","question":"{\"content\":\"Thank you for taking the time to complete this survey. Your feedback is important to us and will help us improve our clinic services.\"}","questionIndex":0,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"c4a0f8d8-d995-441a-a11c-6969bea09856","questionType":"Multiple Choice","title":"How satisfied are you with the level of care provided by our clinic staff?","titleDisplay":"How satisfied are you with the level of care provided by our clinic staff?","question":"{\"title\":\"How satisfied are you with the level of care provided by our clinic staff?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":1,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"5397343e-3193-43cc-9da6-4e5d12bbc81b","questionType":"Multiple Choice","title":"How satisfied are you with the cleanliness and organization of our clinic facilities?","titleDisplay":"How satisfied are you with the cleanliness and organization of our clinic facilities?","question":"{\"title\":\"How satisfied are you with the cleanliness and organization of our clinic facilities?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":2,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"c499cf18-4fc6-45c0-8078-033856bc672d","questionType":"Multiple Choice","title":"How satisfied are you with the quality of care provided by our doctors and nurses?","titleDisplay":"How satisfied are you with the quality of care provided by our doctors and nurses?","question":"{\"title\":\"How satisfied are you with the quality of care provided by our doctors and nurses?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":3,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"215a032e-70b1-4e4f-aa08-1e2ac32380af","questionType":"Multiple Choice","title":"How satisfied are you with the speed and efficiency of our appointment scheduling process?","titleDisplay":"How satisfied are you with the speed and efficiency of our appointment scheduling process?","question":"{\"title\":\"How satisfied are you with the speed and efficiency of our appointment scheduling process?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":4,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"806e1a5f-7b87-45c0-a7d1-86011a4ece75","questionType":"Multiple Choice","title":"How satisfied are you with the communication and information provided by our clinic staff?","titleDisplay":"How satisfied are you with the communication and information provided by our clinic staff?","question":"{\"title\":\"How satisfied are you with the communication and information provided by our clinic staff?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":5,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"178866f8-8d25-487f-adc3-e126f291c5b1","questionType":"Multiple Choice","title":"How satisfied are you with the availability and quality of our clinic amenities (e.g., magazines, coffee, etc.)?","titleDisplay":"How satisfied are you with the availability and quality of our clinic amenities (e.g., magazines, coffee, etc.)?","question":"{\"title\":\"How satisfied are you with the availability and quality of our clinic amenities (e.g., magazines, coffee, etc.)?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":6,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"c0d20cce-8ec0-4d1c-b65e-cad14eaea0d6","questionType":"Multiple Choice","title":"How likely are you to recommend our clinic to others?","titleDisplay":"How likely are you to recommend our clinic to others?","question":"{\"title\":\"How likely are you to recommend our clinic to others?\",\"choices\":[\"Very Likely\",\"Likely\",\"Neutral\",\"Unlikely\",\"Very Unlikely\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":7,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"d159c109-0410-4c98-bccb-47983ce6f879","questionType":"Multiple Choice","title":"How satisfied are you with the billing and payment process for your clinic services?","titleDisplay":"How satisfied are you with the billing and payment process for your clinic services?","question":"{\"title\":\"How satisfied are you with the billing and payment process for your clinic services?\",\"choices\":[\"Very Satisfied\",\"Satisfied\",\"Neutral\",\"Dissatisfied\",\"Very Dissatisfied\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":8,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"41cefc36-23fb-4931-b0dc-cd810429d34f","questionType":"Multiple Choice","title":"How would you rate the overall quality of care you received at our clinic?","titleDisplay":"How would you rate the overall quality of care you received at our clinic?","question":"{\"title\":\"How would you rate the overall quality of care you received at our clinic?\",\"choices\":[\"Excellent\",\"Very Good\",\"Good\",\"Fair Poor\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":9,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"6f10edc8-6e7b-40c6-bc3e-b98ac5fe996a","questionType":"Multiple Choice","title":"How likely are you to return to our clinic for future medical needs?","titleDisplay":"How likely are you to return to our clinic for future medical needs?","question":"{\"title\":\"How likely are you to return to our clinic for future medical needs?\",\"choices\":[\"Very Likely\",\"Likely\",\"Neutral\",\"Unlikely\",\"Very Unlikely\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":null,\"addOtherBlankMessage\":null,\"multiSelect\":false,\"allowAdditionalCommentsOption\":false,\"allowAdditionalCommentsLabel\":null,\"requireAnswer\":true}","questionIndex":10,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"006360ff-6765-41ec-8d89-bf4d6e667ddb","questionType":"Comment Box","title":"Do you have any suggestions for how we can improve our clinic services?","titleDisplay":"Do you have any suggestions for how we can improve our clinic services?","question":"{\"title\":\"Do you have any suggestions for how we can improve our clinic services?\",\"requireAnswer\":false}","questionIndex":11,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"e6fbf497-c4f9-4252-a768-8ae519f2d784","questionType":"Text","title":"Thank you for your time and feedback. We appreciate your input and will use it to improve our clinic services. If you have any additional comments or concerns, please contact us by phone or email.&nbsp;<div><br></div><div>[Clinic Name and Contact Information]</div>","titleDisplay":"Thank you for your time and feedback. We appreciate your input and will use it to improve our clinic services. If you have any additional comments or concerns, please contact us by phone or email.&nbsp;<div><br></div><div>[Clinic Name and Contact Information]</div>","question":"{\"content\":\"Thank you for your time and feedback. We appreciate your input and will use it to improve our clinic services. If you have any additional comments or concerns, please contact us by phone or email.&nbsp;<div><br></div><div>[Clinic Name and Contact Information]</div>\",\"profile\":\"\"}","questionIndex":12,"dirty":false,"deleted":false,"deletedDate":null}]}],"colorTheme":{"id":160,"guid":"f34e29a6-6c4f-4209-824d-e1992392eed3","name":"Pantone 2020: Classic Blue","isSystem":true,"dirty":false,"accountId":null,"usedCount":0,"profile":{"logoBackColor":null,"titleBackColor":"#53B0AE","titleTextColor":"#ffffff","pageTitleBackColor":"#64B7B6","pageTitleTextColor":"#ffffff","backColor":"#efefef","backImage":"","backIcon":"","backSize":"","backSource":"upload","pageBackColor":"#ffffff","pageDescriptionTextColor":"#000000","validationTextColor":"#ff0000","questionPrefixTextColor":"#ff0000","questionTitleTextColor":"#000000","questionFontWeight":"300","questionTextItalic":false,"questionTextUnderline":false,"answerFontWeight":"300","answerTextItalic":false,"answerTextUnderline":false,"answerTextColor":"#000000","font":"Montserrat"}},"profile":{"language":{"defaultLanguage":"En"},"display":{"surveyTitleOn":true,"pageTitlesOn":true,"pageNumbersOn":false,"questionNumbersOn":true,"requiredAsterisksOn":true,"previousButtonsOn":true,"progressBar":{"on":false,"position":null,"type":"question"},"exitLinkOn":false,"displayFormat":"classic","backgroundOpacity":1.0,"multiChoiceSymbolType":"classic","textboxStyle":"line","watermark":{"url":null,"position":null,"width":null,"height":null,"opacity":0.0}},"footer":{"removeBrandFooter":false,"customFooter":""},"alerts":{"enableDailyAlerts":true,"enableEveryResponseAlerts":false},"logo":{"place":"none","align":null,"url":null,"source":null,"width":null,"height":null},"choiceRnd":{"type":"off","scope":"all","questions":[],"exceptLast":[]},"questionRnd":{"type":"off","scope":"all","questions":[]},"pageRnd":{"type":"off","scope":"all","pages":[]},"buttons":{"previous":null,"next":null,"done":null},"messages":{"invalidAnswer":null,"requiredAnswer":null,"finish":null,"disqualification":null,"closed":null,"alreadyTaken":null,"quotaReached":null},"endPages":{"thankYouRedirectionSeconds":null,"thankYouRedirectUrl":null,"thankYouRecipientEmail":null,"thankYouRecipientCc":null,"thankYouEmailSubject":null,"thankYouEmailBody":null,"disqualificationRedirectionSeconds":null,"disqualificationRedirectUrl":null,"alreadyTakenRedirectionSeconds":null,"alreadyTakenRedirectUrl":null,"closedRedirectionSeconds":null,"closedRedirectUrl":null,"quotaReachedRedirectionSeconds":null,"quotaReachedRedirectUrl":null},"variables":[],"integration":{"salesforceRefreshToken":null,"salesforceOn":false,"googleAnalyticsTrackingCode":null,"salesforceConnects":[],"hubspotRefreshToken":null,"hubspotOn":false,"hubspotConnects":[]},"quota":null,"quotaReached":false,"hasIntroPage":false,"requestedAppraisal":false,"autoSave":false,"autoFill":false,"sentMails":[]},"rules":[],"canManageDesign":false,"canViewDesign":false,"canManageSend":false,"canViewSend":false,"canManageAnalyze":false,"canViewAnalyze":false,"isShared":false,"questionCount":13,"responseCount":0,"collaboratorCount":0,"collectorCount":0,"lastResponseOn":null,"isSample":false,"closed":false},"title":"Clinic Performance Evaluation Survey","content":null,"industries":[]}