MedRetreat Survey

MedRetreat Survey
Thank you for allowing us the opportunity to help you with your medical retreat. We appreciate your cooperation in agreeing to complete our survey. It is very important to us that we receive feedback from you to help make our services even better in the future.
MedRetreat Privacy # *
Gender	Male Female
Age group	<21 21-30 31-40 41-50 51-60 61-70 >70
Your City/State
Destination country you visited	Argentina Brazil Costa Rica El Salvador India Malaysia South Africa Thailand Turkey
How did you hear about MedRetreat? *

Please rate your satisfaction with the following elements of your MedRetreat experience.
Rating Scale: 1=Not Satisfied 7=Very Satisfied
MedRetreat U.S. Program Manager	1 2 3 4 5 6 7
MedRetreat Destination Program Manager	1 2 3 4 5 6 7
MedRetreat payment process	1 2 3 4 5 6 7
Destination hospital facility	1 2 3 4 5 6 7
Hospital equipment/technology	1 2 3 4 5 6 7
Safety of medical care	1 2 3 4 5 6 7
Nursing staff	1 2 3 4 5 6 7
Physician competency/skill	1 2 3 4 5 6 7
Bedside manner of the physician	1 2 3 4 5 6 7
Post-procedure care while abroad	1 2 3 4 5 6 7
Hotel accommodations	1 2 3 4 5 6 7
Ability to communicate with friends/family in the U.S	1 2 3 4 5 6 7
Overall, how satisfied were you with your MedRetreat experience?	1 2 3 4 5 6 7

MedRetreat Privacy # *
Gender
Age group
Your City/State
Destination country you visited
How did you hear about MedRetreat? *
Accommodations *
Confidentiality of personal information *
Destination country options
Hospital facility/technology
Physician credentials
Price
Privacy during surgical procedure/recovery
Safety
MedRetreat is a US-based company
MedRetreat U.S. Program Manager
MedRetreat Destination Program Manager
MedRetreat payment process
Destination hospital facility
Hospital equipment/technology
Safety of medical care
Nursing staff
Physician competency/skill
Bedside manner of the physician
Post-procedure care while abroad
Hotel accommodations
Ability to communicate with friends/family in the U.S
Overall, how satisfied were you with your MedRetreat experience?
If you could change one thing about your experience with MedRetreat, what would it be?
What is the main reason you did not have your procedure done in your country?
Would you recommend MedRetreat to a friend?
Would you be interested in speaking with others about your experience?
Please provide us with a testimonial

How important were each of the following to you when making the decision whether to use MedRetreat’s services?
Rating Scale: 1=Not Important 7=Very Important
Accommodations *	1 2 3 4 5 6 7
Confidentiality of personal information *	1 2 3 4 5 6 7
Destination country options	1 2 3 4 5 6 7
Hospital facility/technology	1 2 3 4 5 6 7
Physician credentials	1 2 3 4 5 6 7
Price	1 2 3 4 5 6 7
Privacy during surgical procedure/recovery	1 2 3 4 5 6 7
Safety	1 2 3 4 5 6 7
MedRetreat is a US-based company	1 2 3 4 5 6 7

Your Experience

If you could change one thing about your experience with MedRetreat, what would it be?
What is the main reason you did not have your procedure done in your country?

Recommendations

Would you recommend MedRetreat to a friend?	Yes No
Would you be interested in speaking with others about your experience?	Yes No
Please provide us with a testimonial