www.surveymonkey.com
Open in
urlscan Pro
52.85.61.28
Public Scan
URL:
https://www.surveymonkey.com/r/TLBF5VP
Submission: On September 23 via api from AE — Scanned from US
Submission: On September 23 via api from AE — Scanned from US
Form analysis 1 forms found in the DOM
Name: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-click-shield" tabindex="-1" style="height: 102px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-207454276" data-qnumber="1" data-qdispnumber="1" data-question-id="207454276" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-207454276" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Facility Name</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_207454276" data-question-id="207454276" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-207454276">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-207454276" id="207454276" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="207454276" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
<button id="207454276-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 102px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-207454277" data-qnumber="2" data-qdispnumber="2" data-question-id="207454277" class=" question-open-ended-single qn question single">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-207454277" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 2<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Your Name :</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_207454277" data-question-id="207454277" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-size="50" data-labeledby="question-title-207454277">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-207454277" id="207454277" aria-required="false" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="207454277" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
<button id="207454277-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 102px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-207454278" data-qnumber="3" data-qdispnumber="3" data-question-id="207454278" class=" question-open-ended-single qn question single">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-207454278" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 3<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Position / Role in the organization:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_207454278" data-question-id="207454278" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-size="50" data-labeledby="question-title-207454278">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-207454278" id="207454278" aria-required="false" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="207454278" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
<button id="207454278-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 148px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-207454273" data-qnumber="4" data-qdispnumber="4" data-question-id="207454273" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454273" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 4<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Have you visited ADNOC Site Clinics during the past one year?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell" data-answer-id="1488981695">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454273">
<input id="207454273_1488981695" aria-labelledby="207454273_1488981695_label" name="207454273" type="radio" role="radio" class="radio-button-input " value="1488981695" aria-checked="false">
<label data-sm-radio-button-label="" id="207454273_1488981695_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454273_1488981695">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981696">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454273">
<input id="207454273_1488981696" aria-labelledby="207454273_1488981696_label" name="207454273" type="radio" role="radio" class="radio-button-input " value="1488981696" aria-checked="false">
<label data-sm-radio-button-label="" id="207454273_1488981696_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454273_1488981696">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454273-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-207454279" data-qnumber="5" data-qdispnumber="5" data-question-id="207454279" class=" question-single-choice-radio qn question vertical_two_col question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454279" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 5<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How satisfied are you with the professionalism of Site Clinic staff?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981713">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454279">
<input id="207454279_1488981713" aria-labelledby="207454279_1488981713_label" name="207454279" type="radio" role="radio" class="radio-button-input " value="1488981713" aria-checked="false">
<label data-sm-radio-button-label="" id="207454279_1488981713_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454279_1488981713">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981714">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454279">
<input id="207454279_1488981714" aria-labelledby="207454279_1488981714_label" name="207454279" type="radio" role="radio" class="radio-button-input " value="1488981714" aria-checked="false">
<label data-sm-radio-button-label="" id="207454279_1488981714_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454279_1488981714">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981715">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454279">
<input id="207454279_1488981715" aria-labelledby="207454279_1488981715_label" name="207454279" type="radio" role="radio" class="radio-button-input " value="1488981715" aria-checked="false">
<label data-sm-radio-button-label="" id="207454279_1488981715_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454279_1488981715">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neutral </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981716">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454279">
<input id="207454279_1488981716" aria-labelledby="207454279_1488981716_label" name="207454279" type="radio" role="radio" class="radio-button-input " value="1488981716" aria-checked="false">
<label data-sm-radio-button-label="" id="207454279_1488981716_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454279_1488981716">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Dissatisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981717">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454279">
<input id="207454279_1488981717" aria-labelledby="207454279_1488981717_label" name="207454279" type="radio" role="radio" class="radio-button-input " value="1488981717" aria-checked="false">
<label data-sm-radio-button-label="" id="207454279_1488981717_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454279_1488981717">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981722">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454279">
<input id="207454279_1488981722" aria-labelledby="207454279_1488981722_label" name="207454279" type="radio" role="radio" class="radio-button-input " value="1488981722" aria-checked="false">
<label data-sm-radio-button-label="" id="207454279_1488981722_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454279_1488981722">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not Applicable </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454279-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-207454274" data-qnumber="6" data-qdispnumber="6" data-question-id="207454274" class=" question-single-choice-radio qn question vertical_two_col question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454274" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 6<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How satisfied are you with the available services of the Site Clinic?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981699">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454274">
<input id="207454274_1488981699" aria-labelledby="207454274_1488981699_label" name="207454274" type="radio" role="radio" class="radio-button-input " value="1488981699" aria-checked="false">
<label data-sm-radio-button-label="" id="207454274_1488981699_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454274_1488981699">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981700">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454274">
<input id="207454274_1488981700" aria-labelledby="207454274_1488981700_label" name="207454274" type="radio" role="radio" class="radio-button-input " value="1488981700" aria-checked="false">
<label data-sm-radio-button-label="" id="207454274_1488981700_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454274_1488981700">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981701">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454274">
<input id="207454274_1488981701" aria-labelledby="207454274_1488981701_label" name="207454274" type="radio" role="radio" class="radio-button-input " value="1488981701" aria-checked="false">
<label data-sm-radio-button-label="" id="207454274_1488981701_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454274_1488981701">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neutral </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981702">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454274">
<input id="207454274_1488981702" aria-labelledby="207454274_1488981702_label" name="207454274" type="radio" role="radio" class="radio-button-input " value="1488981702" aria-checked="false">
<label data-sm-radio-button-label="" id="207454274_1488981702_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454274_1488981702">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Dissatisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981703">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454274">
<input id="207454274_1488981703" aria-labelledby="207454274_1488981703_label" name="207454274" type="radio" role="radio" class="radio-button-input " value="1488981703" aria-checked="false">
<label data-sm-radio-button-label="" id="207454274_1488981703_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454274_1488981703">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981723">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454274">
<input id="207454274_1488981723" aria-labelledby="207454274_1488981723_label" name="207454274" type="radio" role="radio" class="radio-button-input " value="1488981723" aria-checked="false">
<label data-sm-radio-button-label="" id="207454274_1488981723_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454274_1488981723">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not Applicable </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454274-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-207454283" data-qnumber="7" data-qdispnumber="7" data-question-id="207454283" class=" question-single-choice-radio qn question vertical_two_col question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454283" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 7<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How satisfied are you with the quality of services provided at site clinics?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981751">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454283">
<input id="207454283_1488981751" aria-labelledby="207454283_1488981751_label" name="207454283" type="radio" role="radio" class="radio-button-input " value="1488981751" aria-checked="false">
<label data-sm-radio-button-label="" id="207454283_1488981751_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454283_1488981751">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981752">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454283">
<input id="207454283_1488981752" aria-labelledby="207454283_1488981752_label" name="207454283" type="radio" role="radio" class="radio-button-input " value="1488981752" aria-checked="false">
<label data-sm-radio-button-label="" id="207454283_1488981752_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454283_1488981752">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981753">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454283">
<input id="207454283_1488981753" aria-labelledby="207454283_1488981753_label" name="207454283" type="radio" role="radio" class="radio-button-input " value="1488981753" aria-checked="false">
<label data-sm-radio-button-label="" id="207454283_1488981753_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454283_1488981753">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neutral </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981754">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454283">
<input id="207454283_1488981754" aria-labelledby="207454283_1488981754_label" name="207454283" type="radio" role="radio" class="radio-button-input " value="1488981754" aria-checked="false">
<label data-sm-radio-button-label="" id="207454283_1488981754_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454283_1488981754">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Dissatisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981755">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454283">
<input id="207454283_1488981755" aria-labelledby="207454283_1488981755_label" name="207454283" type="radio" role="radio" class="radio-button-input " value="1488981755" aria-checked="false">
<label data-sm-radio-button-label="" id="207454283_1488981755_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454283_1488981755">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981759">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454283">
<input id="207454283_1488981759" aria-labelledby="207454283_1488981759_label" name="207454283" type="radio" role="radio" class="radio-button-input " value="1488981759" aria-checked="false">
<label data-sm-radio-button-label="" id="207454283_1488981759_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454283_1488981759">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not Applicable </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454283-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 221px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-207454280" data-qnumber="8" data-qdispnumber="8" data-question-id="207454280" class=" question-single-choice-radio qn question vertical_two_col question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454280" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 8<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How satisfied are you with Site Clinics response to emergency situations (including ambulance services)?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981724">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454280">
<input id="207454280_1488981724" aria-labelledby="207454280_1488981724_label" name="207454280" type="radio" role="radio" class="radio-button-input " value="1488981724" aria-checked="false">
<label data-sm-radio-button-label="" id="207454280_1488981724_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454280_1488981724">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981725">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454280">
<input id="207454280_1488981725" aria-labelledby="207454280_1488981725_label" name="207454280" type="radio" role="radio" class="radio-button-input " value="1488981725" aria-checked="false">
<label data-sm-radio-button-label="" id="207454280_1488981725_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454280_1488981725">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981726">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454280">
<input id="207454280_1488981726" aria-labelledby="207454280_1488981726_label" name="207454280" type="radio" role="radio" class="radio-button-input " value="1488981726" aria-checked="false">
<label data-sm-radio-button-label="" id="207454280_1488981726_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454280_1488981726">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neutral </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981727">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454280">
<input id="207454280_1488981727" aria-labelledby="207454280_1488981727_label" name="207454280" type="radio" role="radio" class="radio-button-input " value="1488981727" aria-checked="false">
<label data-sm-radio-button-label="" id="207454280_1488981727_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454280_1488981727">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Dissatisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981728">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454280">
<input id="207454280_1488981728" aria-labelledby="207454280_1488981728_label" name="207454280" type="radio" role="radio" class="radio-button-input " value="1488981728" aria-checked="false">
<label data-sm-radio-button-label="" id="207454280_1488981728_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454280_1488981728">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981732">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454280">
<input id="207454280_1488981732" aria-labelledby="207454280_1488981732_label" name="207454280" type="radio" role="radio" class="radio-button-input " value="1488981732" aria-checked="false">
<label data-sm-radio-button-label="" id="207454280_1488981732_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454280_1488981732">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not Applicable </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454280-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 221px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-207454281" data-qnumber="9" data-qdispnumber="9" data-question-id="207454281" class=" question-single-choice-radio qn question vertical_two_col question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454281" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 9<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How satisfied are you with Site Clinics engagement efforts with your company employees (such as health awareness sessions, screening campaigns, wellbeing etc.)?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981733">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454281">
<input id="207454281_1488981733" aria-labelledby="207454281_1488981733_label" name="207454281" type="radio" role="radio" class="radio-button-input " value="1488981733" aria-checked="false">
<label data-sm-radio-button-label="" id="207454281_1488981733_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454281_1488981733">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981734">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454281">
<input id="207454281_1488981734" aria-labelledby="207454281_1488981734_label" name="207454281" type="radio" role="radio" class="radio-button-input " value="1488981734" aria-checked="false">
<label data-sm-radio-button-label="" id="207454281_1488981734_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454281_1488981734">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981735">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454281">
<input id="207454281_1488981735" aria-labelledby="207454281_1488981735_label" name="207454281" type="radio" role="radio" class="radio-button-input " value="1488981735" aria-checked="false">
<label data-sm-radio-button-label="" id="207454281_1488981735_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454281_1488981735">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neutral </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981736">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454281">
<input id="207454281_1488981736" aria-labelledby="207454281_1488981736_label" name="207454281" type="radio" role="radio" class="radio-button-input " value="1488981736" aria-checked="false">
<label data-sm-radio-button-label="" id="207454281_1488981736_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454281_1488981736">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Dissatisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981737">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454281">
<input id="207454281_1488981737" aria-labelledby="207454281_1488981737_label" name="207454281" type="radio" role="radio" class="radio-button-input " value="1488981737" aria-checked="false">
<label data-sm-radio-button-label="" id="207454281_1488981737_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454281_1488981737">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981741">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454281">
<input id="207454281_1488981741" aria-labelledby="207454281_1488981741_label" name="207454281" type="radio" role="radio" class="radio-button-input " value="1488981741" aria-checked="false">
<label data-sm-radio-button-label="" id="207454281_1488981741_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454281_1488981741">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not Applicable </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454281-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-207454282" data-qnumber="10" data-qdispnumber="10" data-question-id="207454282" class=" question-single-choice-radio qn question vertical_two_col question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-207454282" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 10<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How satisfied are you with the existing infrastructure of the medical facilities?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981742">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454282">
<input id="207454282_1488981742" aria-labelledby="207454282_1488981742_label" name="207454282" type="radio" role="radio" class="radio-button-input " value="1488981742" aria-checked="false">
<label data-sm-radio-button-label="" id="207454282_1488981742_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454282_1488981742">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981743">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454282">
<input id="207454282_1488981743" aria-labelledby="207454282_1488981743_label" name="207454282" type="radio" role="radio" class="radio-button-input " value="1488981743" aria-checked="false">
<label data-sm-radio-button-label="" id="207454282_1488981743_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454282_1488981743">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Satisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981744">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454282">
<input id="207454282_1488981744" aria-labelledby="207454282_1488981744_label" name="207454282" type="radio" role="radio" class="radio-button-input " value="1488981744" aria-checked="false">
<label data-sm-radio-button-label="" id="207454282_1488981744_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454282_1488981744">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neutral </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981745">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454282">
<input id="207454282_1488981745" aria-labelledby="207454282_1488981745_label" name="207454282" type="radio" role="radio" class="radio-button-input " value="1488981745" aria-checked="false">
<label data-sm-radio-button-label="" id="207454282_1488981745_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454282_1488981745">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Dissatisfied </span>
</label>
</div>
</div>
<div class="answer-option-cell" data-answer-id="1488981746">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454282">
<input id="207454282_1488981746" aria-labelledby="207454282_1488981746_label" name="207454282" type="radio" role="radio" class="radio-button-input " value="1488981746" aria-checked="false">
<label data-sm-radio-button-label="" id="207454282_1488981746_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454282_1488981746">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-2">
<div class="answer-option-cell" data-answer-id="1488981750">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-207454282">
<input id="207454282_1488981750" aria-labelledby="207454282_1488981750_label" name="207454282" type="radio" role="radio" class="radio-button-input " value="1488981750" aria-checked="false">
<label data-sm-radio-button-label="" id="207454282_1488981750_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="207454282_1488981750">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not Applicable </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="207454282-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 129px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-207454275" data-qnumber="11" data-qdispnumber="11" data-question-id="207454275" class=" question-essay qn question essay">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-207454275" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 11<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Do you have any suggestions to enhance the services provided at ADNOC Site Clinics?</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container">
<textarea aria-labelledby="question-title-207454275" id="207454275" name="207454275" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea="" maxlength="20000"></textarea>
</div>
</div>
</div>
</div>
</div>
<button id="207454275-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
</div>
<div class="survey-submit-actions center-text clearfix">
<button type="submit" data-submit-page-button="" class="btn small done-button survey-page-button user-generated notranslate"> END THE SURVEY </button>
</div>
<input type="hidden" id="survey_data" name="survey_data"
value="c0BEbA7iDy16YeLYMbA3PBT5bPbYsOiR0T2zG9ClbUwFCKJB3738Z_2Frw8PT_2Fxz0LOMHZKQ6wDbCRkcoGheWlFrt1dZ72Gxb_2BcGKu8nN6e6AawkDEmeEX5d9EDkphfNWugHfL9gxFG7M41u5s3YW09P1_2Bhq03bgUnUbl5ecT8vobQFRo1E4RiIFiyLcVi3PUjSLqJrHQ3sJbDZ1IRNw_2FoAFxhBy26x5LpmEjo1FtIHi3TDdwv59oNcF7FeSYabjhWP7qMGhQOfOvWTmMD_2B8v34iirBaQBwsoeH8fpoIxpfKFlRwfsQrxRg_2B0Q59Wi4HVswbTHeeV67Y4wXm2MxwdSNRBjFnqA2pcgYzvxAwyX6fUaVrAJTYREaMYpRa8dylgKdftGfgWYjoBy9ahynUlM9duNINxV3d4RRNzCuGh4r5aB0AaIovI_2FBvD_2F62pmpxTojIGCc_2F3lZtuRBr3INDaUZC88uKfCzdwi_2FnbgQ8V2_2B_2FTGOrqMgs89sPVBd7ulRagwXfUcmpZfdoYCth6h0qXIByRAukGrLSISy1rvLbmCSHj_2FTJIuf_2BFR83gvT7ZZyizQ_2F7yVfLslThqhtDc9uvcYPgAI_2BpDFP0pp2BEYNRGXQ8o_3D">
<input type="hidden" data-response-quality="" id="response_quality_data" name="response_quality_data" value="{}">
<input type="hidden" id="is_previous" name="is_previous" value="false">
<input type="hidden" id="is_changing_format" name="is_changing_format" value="">
<input type="hidden" id="survey_format_value" name="survey_format_value" value="OQAAT">
<input type="hidden" id="disable_survey_buttons_on_submit" name="disable_survey_buttons_on_submit" value="">
</form>Text Content
Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. ANNUAL STAKEHOLDERS SATISFACTION SURVEY - 2024 ADNOC SITE CLINICS OPERATED & MANAGED BY RESPONSE PLUS MEDICAL (RPM) COVER LETTER Dear Sir/Madam, ADNOC Site Clinic is ADNOC owned healthcare entity which is operated by Response Plus Medical Services (Medical Operator) that offers diverse medical services to ADNOC Group employees. ADNOC Site Clinic is committed to reinforce effective engagement and open communication with all stakeholders and seek to ensure that all group companies have improved access to health care including emergency services, preventive healthcare services and health education. To accomplish these mandates and to operate in spirit of transparency, we are soliciting stakeholder feedback to help us in identifying opportunities for improvement and adoption of best practices to become the best healthcare service provider. Please respond within one week from receiving the link or the questionnaire hard copy. If you have any questions, please e-mail us at qd-adnoc@rpm.ae Note: Your individual responses will remain confidential. Overall findings will be summarized and used for quality improvement purposes. Best Regards, Response Plus Medical Services OK QUESTION TITLE * 1. FACILITY NAME OK QUESTION TITLE * 2. YOUR NAME : OK QUESTION TITLE * 3. POSITION / ROLE IN THE ORGANIZATION: OK QUESTION TITLE * 4. HAVE YOU VISITED ADNOC SITE CLINICS DURING THE PAST ONE YEAR? Yes No OK QUESTION TITLE * 5. HOW SATISFIED ARE YOU WITH THE PROFESSIONALISM OF SITE CLINIC STAFF? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable OK QUESTION TITLE * 6. HOW SATISFIED ARE YOU WITH THE AVAILABLE SERVICES OF THE SITE CLINIC? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable OK QUESTION TITLE * 7. HOW SATISFIED ARE YOU WITH THE QUALITY OF SERVICES PROVIDED AT SITE CLINICS? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable OK QUESTION TITLE * 8. HOW SATISFIED ARE YOU WITH SITE CLINICS RESPONSE TO EMERGENCY SITUATIONS (INCLUDING AMBULANCE SERVICES)? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable OK QUESTION TITLE * 9. HOW SATISFIED ARE YOU WITH SITE CLINICS ENGAGEMENT EFFORTS WITH YOUR COMPANY EMPLOYEES (SUCH AS HEALTH AWARENESS SESSIONS, SCREENING CAMPAIGNS, WELLBEING ETC.)? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable OK QUESTION TITLE * 10. HOW SATISFIED ARE YOU WITH THE EXISTING INFRASTRUCTURE OF THE MEDICAL FACILITIES? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable OK QUESTION TITLE * 11. DO YOU HAVE ANY SUGGESTIONS TO ENHANCE THE SERVICES PROVIDED AT ADNOC SITE CLINICS? OK END THE SURVEY Powered by See how easy it is to create surveys and forms. Privacy & Cookie Notice 0 of 11 answered Javascript is required for this site to function, please enable.