Thank you for staying with us! Your satisfaction matters. Please take a moment to complete our patient Satisfaction form and help us improve.
Medical Care:
1 star—Terrible
2 stars—Bad
3 stars—OK
4 stars—Good
5 stars—Excellent
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Nursing Care:
1 star—Terrible
2 stars—Bad
3 stars—OK
4 stars—Good
5 stars—Excellent
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Cleanliness:
1 star—Terrible
2 stars—Bad
3 stars—OK
4 stars—Good
5 stars—Excellent
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Facilities:
1 star—Terrible
2 stars—Bad
3 stars—OK
4 stars—Good
5 stars—Excellent
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Value For Money:
1 star—Terrible
2 stars—Bad
3 stars—OK
4 stars—Good
5 stars—Excellent
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Services You Availed
Emergency Services
Surgery
Pharmacy
Radiology
Name:
Phone:
Email:
Date of Visit:
Your City:
Will you recommend our Hospital to your friends & family?
Yes
No
Special Comments:
The below field is for testing purposes only (backend portion)
Mobile Number Format : 91XXXXXXXXXX
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