هل سبق لك زيارة عيادتنا من قبل أم أنك جديدة ؟

مريضتنا من قبلأم أنك مريضة جديدة

لأي فرع تتبع ؟

[imageradio
radio-75 id:country-atm class:radio-en
"Kuwait!https://thepearlderma.com/wp-content/uploads/2018/04/kuwaitr.png"
"Qatar!https://thepearlderma.com/wp-content/uploads/2018/04/qatar.png" ]

كيف سمعت عنا؟

Select your answer...إعلان الشارعالصحف \المجلاتعن طريق صديقالإنترنت \ الموقع الإلكترونيأشياء أخرى

: يرجى تقدير المعالجة \الخدمة التي تلقيتها

[imageradio
service-satisfied id:rate-treatment class:radio-en
"NeedsImprovement!https://thepearlderma.com/wp-content/uploads/2018/04/needimprovement-smiley.png"
"Poor!https://thepearlderma.com/wp-content/uploads/2018/04/poor-smiley.png"
"Good!https://thepearlderma.com/wp-content/uploads/2018/04/average-smiley.png"
"VeryGood!https://thepearlderma.com/wp-content/uploads/2018/04/verygood-smiley.png"
"Excellent!https://thepearlderma.com/wp-content/uploads/2018/04/excellent-smiley.png"
]

كيف وجدت أسعار خدماتنا ؟

[imageradio price-service id:service-price class:radio-en
"NeedsImprovement!https://thepearlderma.com/wp-content/uploads/2018/04/needimprovement-smiley.png"
"Poor!https://thepearlderma.com/wp-content/uploads/2018/04/poor-smiley.png"
"Good!https://thepearlderma.com/wp-content/uploads/2018/04/average-smiley.png"
"VeryGood!https://thepearlderma.com/wp-content/uploads/2018/04/verygood-smiley.png"
"Excellent!https://thepearlderma.com/wp-content/uploads/2018/04/excellent-smiley.png" ]

خدمة العملاء

[imageradio
customer-services id:serve-cust class:radio-en
"NeedsImprovement!https://thepearlderma.com/wp-content/uploads/2018/04/needimprovement-smiley.png"
"Poor!https://thepearlderma.com/wp-content/uploads/2018/04/poor-smiley.png"
"Good!https://thepearlderma.com/wp-content/uploads/2018/04/average-smiley.png"
"VeryGood!https://thepearlderma.com/wp-content/uploads/2018/04/verygood-smiley.png"
"Excellent!https://thepearlderma.com/wp-content/uploads/2018/04/excellent-smiley.png" ]

الطاقم الفني )أطباء \ ممرضات )

[imageradio
technical-staff-review id:tech-s-rev class:radio-en
"NeedsImprovement!https://thepearlderma.com/wp-content/uploads/2018/04/needimprovement-smiley.png"
"Poor!https://thepearlderma.com/wp-content/uploads/2018/04/poor-smiley.png"
"Good!https://thepearlderma.com/wp-content/uploads/2018/04/average-smiley.png"
"VeryGood!https://thepearlderma.com/wp-content/uploads/2018/04/verygood-smiley.png"
"Excellent!https://thepearlderma.com/wp-content/uploads/2018/04/excellent-smiley.png" ]

مستوي الخدمات

[imageradio
quality-of-treatment id:quality-of-treat class:radio-en
"NeedsImprovement!https://thepearlderma.com/wp-content/uploads/2018/04/needimprovement-smiley.png"
"Poor!https://thepearlderma.com/wp-content/uploads/2018/04/poor-smiley.png"
"Good!https://thepearlderma.com/wp-content/uploads/2018/04/average-smiley.png"
"VeryGood!https://thepearlderma.com/wp-content/uploads/2018/04/verygood-smiley.png"
"Excellent!https://thepearlderma.com/wp-content/uploads/2018/04/excellent-smiley.png" ]

التسهيلات والأجهزة

[imageradio
equipments id:equip class:radio-en
"NeedsImprovement!https://thepearlderma.com/wp-content/uploads/2018/04/needimprovement-smiley.png"
"Poor!https://thepearlderma.com/wp-content/uploads/2018/04/poor-smiley.png"
"Good!https://thepearlderma.com/wp-content/uploads/2018/04/average-smiley.png"
"VeryGood!https://thepearlderma.com/wp-content/uploads/2018/04/verygood-smiley.png"
"Excellent!https://thepearlderma.com/wp-content/uploads/2018/04/excellent-smiley.png" ]

في المعيار من 1 إلى 10 ، ما مدى احتمال أن تنصحي بنا صديقة أو أحد أفراد عائلتك ؟
(الرقم ١٠ الأعلى و الرقم ١ الأقل)

[imageradio radio-936 id:recommend-rate class:radio-en
"10!https://thepearlderma.com/wp-content/uploads/2018/04/10.png"
"9!https://thepearlderma.com/wp-content/uploads/2018/04/9.png"
"8!https://thepearlderma.com/wp-content/uploads/2018/07/8v2.png"
"7!https://thepearlderma.com/wp-content/uploads/2018/07/7v2.png"
"6!https://thepearlderma.com/wp-content/uploads/2018/07/6v2.png"
"5!https://thepearlderma.com/wp-content/uploads/2018/07/5v2.png"
"4!https://thepearlderma.com/wp-content/uploads/2018/07/4v2.png"
"3!https://thepearlderma.com/wp-content/uploads/2018/07/3v2.png"
"2!https://thepearlderma.com/wp-content/uploads/2018/07/2v2.png"
"1!https://thepearlderma.com/wp-content/uploads/2018/07/1v2.png"
]

: هل يمكنك من فضلك إخبارنا بإقتراح تودين ان نقدمه لك لخدمتك بشكل أفضل

.اختياري : الرجاء إدخال الاسم كاملا أو رقم المحمول