IPD Patient's Feedback Form Date * Patient's Full Name * Email Phone Number * IP No. / WH No Consultant Name Previous Next Were you satisfied with your doctors care ? Poor Fair Good Very Good Excellent Did the doctor explain the diagnosis, treatment and medicine to you ? Poor Fair Good Very Good Excellent Were you adequetly attended by the Duty Doctors ? Poor Fair Good Very Good Excellent Were you satisfied with the capability of the nursing staff ? Poor Fair Good Very Good Excellent Did the nurse show care and concern to your needs ? Poor Fair Good Very Good Excellent Was the nurse quick and prompt in attending to you ? Poor Fair Good Very Good Excellent Did you receive an explanation that you underwent ? Poor Fair Good Very Good Excellent Overall Experience : [Cleanliness] Poor Fair Good Very Good Excellent Overall Experience : [Communication] Poor Fair Good Very Good Excellent Overall Experience : [Ambiance of the hospital] Poor Fair Good Very Good Excellent Overall Experience : [Ward Facilities] Poor Fair Good Very Good Excellent Overall Experience : [IPD PHARMACY SERVICE] Poor Fair Good Very Good Excellent Overall Experience : [Food and Diet Service] Poor Fair Good Very Good Excellent Overall Experience : [Reception and Inquiry service] Poor Fair Good Very Good Excellent Overall Experience : [Admission process] Poor Fair Good Very Good Excellent Overall Experience : [Discharge process] Poor Fair Good Very Good Excellent Previous Next Based on your experience, how likely are you to recommend us to your friends and colleagues for their treatment? Definitely Would Not Recommend Probably Would Not Recommend Neutral Probably Would Recommend Definitely Would Recommend If we have scored poor of average in any section, could you tell us how we could have performed better? Share us a overall Rating Submit Previous Next For Patients Menu
