Please enable JavaScript in your browser to complete this form.Name *Email *Vă rugăm să introduceți adresa dvs. de e-mail, astfel încât să vă putem contacta.1. How did you hear about Eva Medical? *Family doctor/ specialistFriends, acquaintancesThe pressTVRadioOnlinePanotage (street, subway)From the employerOther sourcesWhich are these?2. Why did you choose Eva Medical? *High-performance medical equipmentMedical team (reputable doctors)It's a clinic I trust (good previous experience)ProximitySolving a wide range of medical problemsOther reasonsCare sunt acestea?3. Are you visiting Eva Medical for the first time? *YesNo4. Are you satisfied with the QUALITY of our services? *Very pleasedSatisfiedDissatisfiedVery unhappy5. Do you intend to recommend our services in the future? *YesNoI do not know7. Suggestions for improving services8. Your data:Age *0-18 years18-25 years26-40 years41-60 yearsOver 60 yearsSex *FemaleMaleStudied *AverageUniversityPostgraduateCareer level: *Top managementMiddle managementNo management positionMonthly income: *under 900 ron900-1600 ron1601-3000 ron3001-5000 ron5001-9000 ronover 9000 ronHome *AlbaAradArgeșBacăuBihorBistrița-NăsăudBotoșaniBrașovBrăilaBucureștiBuzăuCaraș-SeverinCălărașiClujConstanțaCovasnaDâmbovițaDoljGalațiGiurgiuGorjHarghitaHunedoaraIalomițaIașiIlfovMaramureșMehedințiMureșNeamțOltPrahovaSatu MareSălajSibiuSuceavaTeleormanTimișTulceaVasluiVâlceaVrancea9. The EVA Medical unit for which the feedback is provided *Clucerului – Sector 1Ștefan cel Mare – Sector 2MessageSend
