Your time is kindly appreciated. By filling this survey, you can win a Sahel souvenir (t-shirts, mags, hats,...) First Name: Last Name Gender M F Age Occupation Address Postal code City State/Province Country Phone Fax E-mail How did you know about Sahel General Hospital? If you have visited our hospital before,please answer the following questions: Good Average Poor 1-Your experience with admission office? 2-Nursing care? 3-Diatery menu? 4-Room cleanliness? 5-Physicians relationship? 6-Employees relationship? 7-Overall hospital evaluation? 8-Security rating? 9-In case of treatment, would you consider coming back or refering others to SGH? What would you appreciate most in a hospital? (note: please enter nb. 1-5 , where 1 is the most important, 2 less, 3 lesser, etc..) 1-Pricing 5-Interior facility apperance 2-Sophisticated technology 6-Involved in medical research 3-Customer oriented staff 7-Teaching hospital 4- Exterior facility appearance 8-Physician profile