Evaluation Form  

To help us keep improving. Please fill the following form : 

When you visit our site, how long do you wait?
Without WaitingShort Wait Long Wait Very Long Wait

How do you rate our services?
Excellent Very Good Fair Poor

The Organization of the Units is:
Excellent Very Good Fair Poor

The Colors are:
Attractive Distorted Very Poor

Is it easy to access our services?
Yes No

In general, the enrollment fees are:
High Average Low

How do you evaluate our center compared to other similar centers:
Better than most About the same Not as good Worse No previous experience

To further assist us in this survey:
Your sex:
Male Female
Your approximate age:
Under 30 30 - 45 45 - 65 Over 60

We would be grateful for your comments and suggestions: