OPD Patient's Feedback Form Date * Patient's Full Name * Email Phone Number * WH No . (UHID) Previous Next How would you rate your experience at the registration & billing counters? Poor Fair Good Very Good Excellent How would you rate your experience with the consultant? Poor Fair Good Very Good Excellent How would you rate your experience at our laboratory and radiology? Poor Fair Good Very Good Excellent How would you rate the behaviour of our staff? Poor Fair Good Very Good Excellent How would you rate hospital hygiene? Poor Fair Good Very Good Excellent The overall Hospital Services Poor Fair Good Very Good Excellent Waiting Time Poor Fair Good Very Good Excellent Cleanliness and Hygiene Poor Fair Good Very Good Excellent Quality of Care Poor Fair Good Very Good Excellent How you rate the behavior and availability of medicine in the pharmacy? 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
