{"id":417,"date":"2025-09-12T22:55:35","date_gmt":"2025-09-12T22:55:35","guid":{"rendered":"https:\/\/puntamitahospital.com\/2025\/?page_id=417"},"modified":"2025-10-30T02:12:05","modified_gmt":"2025-10-30T02:12:05","slug":"pmh-survey","status":"publish","type":"page","link":"https:\/\/puntamitahospital.com\/2025\/pmh-survey\/","title":{"rendered":"PMH Survey"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"417\" class=\"elementor elementor-417\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-470ac2f elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"470ac2f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-37b0a161\" data-id=\"37b0a161\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ce0fbbe elementor-widget elementor-widget-heading\" data-id=\"7ce0fbbe\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PUNTA MITA HOSPITAL <B>SURVEY<\/B><\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-77d2f4e5\" data-id=\"77d2f4e5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1af3af90 cpel-switcher--align-right cpel-switcher--layout-horizontal cpel-switcher--aspect-ratio-43 elementor-widget elementor-widget-polylang-language-switcher\" data-id=\"1af3af90\" 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tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/2025\/wp-json\/wp\/v2\/pages\/417#gf_5' data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_33' style='width:33%; color:#fff; background-color:#5598A6;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_38\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2>Tell us about your experience,<\/h2>\n<h2>it only takes a minute!<\/h2>\n<img decoding=\"async\" class=\"wp-image-17188 size-medium alignright\" src=\"https:\/\/puntamitahospital.com\/wp-content\/uploads\/2022\/08\/survey01.jpg\" alt=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_37' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-37' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_31'>Where did you visit us?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_5_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Punta Mita Hospital' >Punta Mita Hospital<\/option><option value='Sayulita Health Clinic' >Sayulita Health Clinic<\/option><\/select><\/div><\/div><div id=\"field_5_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_30'>What was the reason for your visit?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_5_30' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='ER' >ER<\/option><option value='General consultation' >General consultation<\/option><option value='Specialist' >Specialist<\/option><option value='Operating Room' >Operating Room<\/option><\/select><\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How did you find the experience with our Doctors?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_7'><input name='input_7' type='radio' value='grating795a0b241'  id='choice_5_7_0'    \/><label for='choice_5_7_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_7' type='radio' value='grating735a346cc'  id='choice_5_7_1'    \/><label for='choice_5_7_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_7' type='radio' value='grating7442a6b55'  id='choice_5_7_2'    \/><label for='choice_5_7_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_7' type='radio' value='grating743b7dc03'  id='choice_5_7_3'    \/><label for='choice_5_7_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_7' type='radio' value='grating7d0180e18'  id='choice_5_7_4'    \/><label for='choice_5_7_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How easy is it to navigate our facility?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_6'><input name='input_6' type='radio' value='grating6017c6e51'  id='choice_5_6_0'    \/><label for='choice_5_6_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_6' type='radio' value='grating6deb9f185'  id='choice_5_6_1'    \/><label for='choice_5_6_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_6' type='radio' value='grating66e59a603'  id='choice_5_6_2'    \/><label for='choice_5_6_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_6' type='radio' value='grating67840c5f0'  id='choice_5_6_3'    \/><label for='choice_5_6_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_6' type='radio' value='grating638c893c8'  id='choice_5_6_4'    \/><label for='choice_5_6_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_5_10\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How satisfied are you with the doctor\u2019s treatment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_10'><input name='input_10' type='radio' value='grating106e2589ab'  id='choice_5_10_0'    \/><label for='choice_5_10_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_10' type='radio' value='grating10829458ef'  id='choice_5_10_1'    \/><label for='choice_5_10_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_10' type='radio' value='grating104ce343c1'  id='choice_5_10_2'    \/><label for='choice_5_10_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_10' type='radio' value='grating107abe0eb6'  id='choice_5_10_3'    \/><label for='choice_5_10_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_10' type='radio' value='grating10d948d5fe'  id='choice_5_10_4'    \/><label for='choice_5_10_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >Were our staff empathetic to your needs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_16'><input name='input_16' type='radio' value='grating6017c6e51'  id='choice_5_16_0'    \/><label for='choice_5_16_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_16' type='radio' value='grating6deb9f185'  id='choice_5_16_1'    \/><label for='choice_5_16_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_16' type='radio' value='grating66e59a603'  id='choice_5_16_2'    \/><label for='choice_5_16_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_16' type='radio' value='grating67840c5f0'  id='choice_5_16_3'    \/><label for='choice_5_16_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_16' type='radio' value='grating638c893c8'  id='choice_5_16_4'    \/><label for='choice_5_16_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How likely are you to recommend us to your friends and family?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_20'><input name='input_20' type='radio' value='grating6017c6e51'  id='choice_5_20_0'    \/><label for='choice_5_20_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_20' type='radio' value='grating6deb9f185'  id='choice_5_20_1'    \/><label for='choice_5_20_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_20' type='radio' value='grating66e59a603'  id='choice_5_20_2'    \/><label for='choice_5_20_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_20' type='radio' value='grating67840c5f0'  id='choice_5_20_3'    \/><label for='choice_5_20_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_20' type='radio' value='grating638c893c8'  id='choice_5_20_4'    \/><label for='choice_5_20_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_4' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_4' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-4' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_5_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How did you know about us?<\/legend><div class='gfield_description' id='gfield_description_5_32'>How did you find out about our campaign?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_32'>\n\t\t\t<div class='gchoice gchoice_5_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Website'  id='choice_5_32_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_32\"   \/>\n\t\t\t\t\t<label for='choice_5_32_0' id='label_5_32_0' class='gform-field-label gform-field-label--type-inline'>Website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Social media'  id='choice_5_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_32_1' id='label_5_32_1' class='gform-field-label gform-field-label--type-inline'>Social media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Print advertising'  id='choice_5_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_32_2' id='label_5_32_2' class='gform-field-label gform-field-label--type-inline'>Print advertising<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Referer'  id='choice_5_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_32_3' id='label_5_32_3' class='gform-field-label gform-field-label--type-inline'>Referer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='gf_other_choice'  id='choice_5_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_32_4' id='label_5_32_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_5_32_other' class='gchoice_other_control' name='input_32_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_26\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_26'>Want to leave any additional comments or recognition of our staff?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_26' id='input_5_26' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-html gfield--input-type-html gf_right_half gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/puntamitahospital.com\/wp-content\/uploads\/2022\/08\/survey02.jpg\" alt=\"\" class=\"wp-image-17195\"\/><\/figure><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' 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