Feedback Survey

Please provide your feedback below

Your name

Facility

Phone Number

Email

Date

How satisfied are you with the following

	😡	😠	😐	🙂	😄
Responsiveness of our support team in addressing your feedback/requests?
Support team’s ability to resolve issues?
Responsiveness of the providers?
Expertise and professionalism of the providers in delivering patient care?
Diagnosis/recommendations of the providers?
Ease of communication with the Alina operations staff and their ability to resolve issues?
Performance and reliability of the tele-video connection during consults?
Overall patient satisfaction with Tele-visits?
How satisfied are you with Alina Telehealth’s pricing?
How likely are you to recommend Alina Telehealth’s services?

How can we improve?