Document

Outpatient Satisfaction Survey

Please take a few minutes to complete this survey form. Your response will continuously improve quality of the service

1. Hospital parking availability

Satisfied

Unsatisfied

Not Applicable

2. Cleanliness and appearance

Satisfied

Unsatisfied

Not Applicable

3. Directional Signage’s

Satisfied

Unsatisfied

Not Applicable

4. Booking and confirmation of appointments

Satisfied

Unsatisfied

Not Applicable

5. Waiting time

Satisfied

Unsatisfied

Not Applicable

6. Courtesy & Treatment(Reception Staff, Nurse and Doctor)

Satisfied

Unsatisfied

Not Applicable

7. Services Offered( Laboratory & Radiology)

Satisfied

Unsatisfied

Not Applicable

8. Efficiency of the Insurance team

Satisfied

Unsatisfied

Not Applicable

9. Will you recommend SriKumaran Hospital to a family member /Friend?

Yes

10. Areas of Improvements/ Suggestions

Name

Contact No

E-Mail

Date of Visit