Hi There! Please dont let the size of our form fool you. We have tested filling out the form, and we assure you it will not take more than 3 minutes of your time. This is one of the best places for you to voice your feelings
towards the service level you experienced at one of our hospitals. If the questionnaire does not help you, please fill out the "General Comments" Box at the very bottom of this page.
PERSONAL DETAILS
Name of Patient (optional)
Contact Number
Email Address
Date
QUESTIONS
Poor
Average
Good
Excellent
1.
Were reception staff helpful, courteous & did they explain everything to you?
2.
Was the full implication of your hospital admission explained to you by our administrative staff?
3.
What was your overall experience regarding the nursing care rendered to you?
4.
What was your overall impression of our catering services?
5.
What was your overall impression of the cleanliness and comfort of our wards?
6.
Was all the equipment at your disposal functional?
7.
How would you rate your overall experience at Melomed Hospital Holdings?
GENERAL
Would you recommend this hospital to your family and friends?
Yes