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Hospital Ratings/Review Form
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Email
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www.besthospitalreviews.com
Your Full Name
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Your answer
Mobile Number
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Email Address
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Your answer
Which Hospital Did You Visit
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Department Visited
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Rate the Information provided in terms of speed and reliability
This could be on the phone, via the website, via the staff
Poor
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4
5
Excellent
Clear selection
Rate the location of the hospital
In terms of reaching easily via public/private transport, parking issues, nearby facilities etc
Poor
1
2
3
4
5
Excellent
Clear selection
Ease of Access
Disabled and children friendly, easy to walk, no steep steps etc
Poor
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4
5
Excellent
Clear selection
Rate the Reception area and staff.
Was the reception able to serve you to your expectation. Was the staff courteous, quick and responsive?
Poor
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4
5
Excellent
Clear selection
Rate the help desk
Prompt replies, able to help, accurate information, behaviour and attitude of staff
Poor
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4
5
Excellent
Clear selection
Waiting Times
This could be at the registration counter, appointment times, discharge times etc
Poor
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5
Excellent
Clear selection
Cleanliness of the hospital
Overall cleanliness of the area, No. of times cleaning was carried out, Attention to Hygiene
Poor
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5
Excellent
Clear selection
Quality of Food and Beverages served
This would include food to admitted patients, relatives and cafetaria options along with quality and service.
Poor
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4
5
Excellent
Clear selection
Attitute of Support and Ancillary Staff
This would be nurses, ward boys, technicians etc
Poor
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2
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5
Excellent
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Level of Care Provided by Doctors / Specialists.
Pre diagnosis, at diagnosis and post procedure if any
Poor
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5
Excellent
Clear selection
Doubt / Conflict Resolution (If Any)
Did you have a good experience clearing doubts or resolving conflicts
Poor
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4
5
Excellent
Clear selection
Rate the billing department
Speed, accuracy, courtesy, diligence etc
Poor
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4
5
Excellent
Clear selection
Overall Rating for the Hospital
Would you recommend your friend/relative to visit here or visit here again yourself?
Poor
1
2
3
4
5
Excellent
Clear selection
A few lines or suggestions for the hospital regarding your experience there
Your answer
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