PATIENT FEEDBACK FORM

    Admission Office
    Attitude of Staff Exceptional 😄 Satisfactory😊 Average😐 Unsatisfactory🙁
    Expense Counseling Exceptional 😄 Satisfactory😊 Average😐 Unsatisfactory 🙁
    Consultant/Doctor
    Routine Patient Visit Exceptional 😄 Satisfactory😊 Average 😐 Unsatisfactory 🙁
    Counseling & Treatment 😄 😊 😐 🙁
    ENVIRONMENT
    Quality of linen Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    Room Cleanliness/Tideness Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    NURSING
    Attitude of staff Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    Patient Care & Management Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    RADIOLOGY SERVICES
    Available Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    LABORATORY/BLOOD BANK
    Was the Lab Staff Courteous to you Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory🙁
    PHARMACY
    Were the Medicines available in Pharmacy Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    MEDICAL OFFICER/DUTY DOCTOR
    Attitude/Courteous Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    Patient Care/Management Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    Availability/Response on Call Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    FOOD SERVICES
    Quality of Food Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁
    DISCHARGE OFFICE
    Discharge Process Exceptional 😄 Satisfactory 😊 Average 😐 Unsatisfactory 🙁

    Address