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In which age category are you in?
 
18 - 29
 
30 - 39
 
40 - 54
 
above 55
 
 
 
Have you ever visit any Medical Centre for medical tratment/service in the past?
 
Yes
 
No
 
 
 
Approximaetely how regular do you visit those Medical Centre in a year?
 
0 to 2 times
 
3 to 6 times
 
more then 6 times
 
 
 
Approximately how long does it take for you to wait for the completion of the medical registration on your first visit?
 
1 to 3 minutes
 
4 to 6 minutes
 
more then 6 minutes
 
 
 
Did those Medical Centre constantly maintain your medical record?
 
Yes
 
No
 
 
 
Have you ever been in a situation where other patient that came after you, received their appointment earlier?
 
Yes
 
No
 
 
How satisfied are you with the following:
Unaware Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
IT Services provided outside Medical Centre
IT Services provided inside Medical Centre
 
 
 
Do you have internet access at your home?
 
Yes
 
No
 
 
What is your opinion, if there is an availability on the following function:
Great Function Good Function Neutral Bad Function Unneeded Function
Portable Software/Website to assist you medically outside Medical Centre
List of availability of doctors and their information
Appointment Schedule
 
 
Please rate yourself on the following field
Very Good Good Neutral Bad Very Bad
IT/Computer Knowledge
Medical Knowledge
 
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