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Online feedback form & complaints
Wednesday, February 22, 2012
Customer Satisfaction Survery
Please take a moment to complete the Patient Satisfaction Survery below:
What were the three most important things you expected and how satisfied were you that these were met?
Very
Satisfied
Satisfied
Somewhat
Satisfied
Somewhat
Dissatisfied
Dissatisfied
Very
Dissatisfied
1.
1
2
3
4
5
6
2.
1
2
3
4
5
6
3.
1
2
3
4
5
6
How would you rate the quality of your stay?
1
2
3
4
5
6
If there was one message you would to pass on to the Manager in charge of this hospital, it would be ...
Providing high quality service is important to us.
One of the ways we can ensure that we are meeting your expectations as a patient at our hospital is to receive your feedback. With that in mind, I would ask you to take a few minutes to complete this form.
It is only by learning of things we do well, along with the things we can do better, that we can provide excellence in healthcare.
Room:
Date of Discharge:
Enter the code shown above
Customer Satisfaction Survery
You can also download a PDF version of the customer satistfaction survery if you prefer:
/Portals/0/Documents/Patient Satisfaction Survey Form 2012.pdf
Home
Patient Information
About Us
Ormistons Vision
Senior Management Team
News
Events
Careers
Email a patient
General enquiry form
How to find us
Patient Info
Why go private at Ormiston
Get an estimate
Payment
How to obtain a GP referral
Coming into hospital
About your stay
Online feedback form & complaints
Patient Compendium
Message from CEO
In-Patient Facilities
Specialists & Medication
Room Facilities
Food & Dietary Service
Physio and Pharmacy
Discharge
Services & Specialities
A-Z of treatments
On site services
SX Affiliated Provider
GP Information
Ormiston Endoscopy
Ormiston Bariatrics
Consulting Suites
Nova Medical Finance
About Nova Medical Finance
What are the monthly repayments?
Application Form
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