Patient Feedback Form

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down town hospital is grateful to you for giving us the opportunity to serve you. To help us to make our hospital to serve you the best, we sincerely request you to kindly spare a few moment to give us your suggestions and feedback on the hospital services by choosing the appropriate box.


We appreciate your feedback and assure you of our best services always. At down town hospital, we believe in patient safety, quality of care and utmost satisfaction.

Excellent : 5

Good : 4

Fair : 3

Poor : 2

Unacceptable : 1

* Mandatory Fields

CLINICAL CARE BY THE CONSULTANTS


NURSING CARE


TIMELY AVAILABILITY OF THE INVESTIGATION REPORTS


DIET AND NUTRITION


CLEANLINESS AND HYGIENE


PROMPTNESS AND COURTEOUS BEHAVIOR OF STAFF


OVERALL EXPERIENCE DURING STAY


WOULD YOU CONSIDER US FOR FUTURE MEDICAL TREATMENT?


Comments / Suggestions

Drop your additional suggestions here

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