Feedback Form

 

Feedback

       
           
A. RECEPTION        
1. Response in answering call
           
           
B. INTENSIVE CARE UNIT        
1. Comfortability in I.C.U.
2. Daily Sponge.
3. Attention from Doctor's team in I.C.U.
4. Attention from Nursing Team.
5. Attention from Housekeeping Team.
           
           
C. ACCOMMODATION        
1. Quality of food.
2. Food service on time.(Waiting)
3. Efficiency and Politeness of the staff in ward/Rooms.
4. Attention from Housekeeping Team.
5. Any Complaints or suggestions:  
           
           
D. ENVIRONMENT        
1. Cleanliness, hygiene and tidiness
2. Cleanliness of washrooms
           
           
E. OVERALL EXPERIENCE        
1. Overall experience of services.
           
2. WILL YOU COME TO THIS HOSPITAL FOR FUTURE TREATMENT?    
           
3. WILL YOU RECOMEND THIS HOSPITAL TO OTHERS?    
           
4. HOW DO YOU KNOW ABOUT RAJ HOSPITAL MULUND?    
           
5. ANY COMMENTS/SUGGESTIONS THAT WILL HELP US
TO IMPROVE THE CARE WE PROVIDE?
 
       
       
  CONTACT INFORMATION    
       
       
  Patient's Name:  
       
  Contact No.  
       
  Email Id:  
       
  DATE OF ADMISSION:  
       
  DATE OF DISCHARGE:  
       
  Bed No.