1. Apollo Customer Survey
1. Are you an employee?
Yes
No
2. Which hospital comes to your mind at the time of emergency : ________________
3. What Emergency number comes to your mind at the time of emergency? ________
4. What is your opinion on Apollo Hospital?
Excellent
Good
Average
5. Do you prefer Apollo for your medical needs?
Yes
No
If Yes why?
_________________________________________
6. Your preference of corporate hospital Vs Apollo?
__________________________
7. Any special reasons for your preference?
____________________________________________________________
8. What are the factors for you to choose the hospital?
Doctors Recommendations
Friend’s recommendations
Location of the hospital
Legacy of the hospital.
9. Do you prefer any special health care packages?
Yes
No
10. Do you know that reimbursement facility is available in Apollo?
Yes
No

2. Agree Uncertain Disagree
11. Getting an Appointment for medical
care at Apollo is easy
12. Admission process at Apollo is
very smooth
13. Doctors at Apollo listen
to me Carefully
14. Doctors at Apollo are
Good at explaining the
reasons for medical Tests
15. What are the top two things you expect Apollo should provide in healthcare?
1. __________________________________________
2. __________________________________________
16. According to you in which area Apollo should improve to provide better services?
1. __________________________________________
2. __________________________________________
17. Any suggestions:
____________________________________________________________________
____________________________________________________________________
18. Name :
19. Age :
20. Contact Number :
21. Address :