Patient Feedback – Sal Hospital & Medical Institute
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Patient Feedback

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Patient Feedback/Suggestions Form

We at SAL Hospital are thankful for you to giving us an opportunity to heal you medically. And to boost our continuous efforts to make ourselves best in medical and healthcare service provider we sincerely request your opinions and suggestions based on your experience with us. Kindly fill the below given form for your feedback and suggestions. Your identity will remain entirely confidentially at all times and we will take your suggestions seriously to improve ourselves.

    FULL NAME

    CONTACT NUMBER

    EMAIL ID

    DEPARTMENT CONSULTED

    SCHEDULING APPOINTMENT

    PROMPTNESS AND COURTEOUS BEHAVIOR OF THE BILLING / RECEPTION COUNTER
    ExcellentGoodAverageBelow AverageUnacceptable
    PLEASE RATE YOUR EXPERIENCE WITH THE CONSULTANT/DOCTOR
    ExcellentGoodAverageBelow AverageUnacceptable
    COURTESY OF THE DOCTOR AND THE NURSING STAFF.
    ExcellentGoodAverageBelow AverageUnacceptable
    TIMELY AVAILABILITY OF THE INVESTIGATION REPORT
    ExcellentGoodAverageBelow AverageUnacceptable
    CAFETERIA/F&B SERVICES AT THE HOSPITAL
    ExcellentGoodAverageBelow AverageUnacceptable
    TRANSPERANCY IN BILLING
    ExcellentGoodAverageBelow AverageUnacceptable
    WOULD YOU CONSIDER EPIC HOSPITAL FOR FUTURE MEDICAL NEEDS?
    ExcellentGoodAverageBelow AverageUnacceptable
    WOULD YOU LIKE TO GIVE US ANY MESSAGE?

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