This survey asks for your opinion about the environment and services you have received during your most recent stay at our facility. There are no right or wrong answers; it is your opinion that is important to us. Your feedback will help us to improve our service to ensure that we are meeting our patients needs.

All responses will be kept confidential and anonymous.
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Please select your procedure category


 
Please select your age category


 
What is your gender?


 
Please rate our facility and service by answering the following questions

 
Waiting time before procedure


 
Level of hygiene and cleanliness in bathrooms


 
Level of hygiene and cleanliness in the ward


 
Noise levels in the ward


 
Staff assistance and responsiveness to needs


 
Were you provided with information regarding your medication / drops?

     
 
Were you provided with clear and understandable after care instructions?

     
 
Did you receive a written discharge plan that is clear and understandable?

     
 
Would you like a personalized phone call to follow up your procedure?

     
 
Would you recommend our facility to your friends and family?

     
 
Please let us know if there is anything we could have done to improve your experience during your stay at our facility

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