ANAMNESIS
ANAMNESIS
ANAMNESIS
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What are your expectations of today`s examination?<br />
.................................................................................................................................<br />
.................................................................................................................................<br />
Who recommended you to come to our practice?<br />
my doctor ............................................................................<br />
optician ............................................................................<br />
eye specialist ........................................................................<br />
friend of yours ......................................................................<br />
newspaper/ TV (which one?) ................................................<br />
internet<br />
infoscreen in the subway<br />
informative event, informative postcard<br />
others .................................................................................<br />
Did you visit our HOMEPAGE before contacting us for an<br />
appointment?<br />
yes<br />
no<br />
If you did so, has your decision to fix an appointment be<br />
influenced by the positive valuation of our homepage?<br />
Yes<br />
No<br />
6/7
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