Name & Surname

Email Address

Were the admission staff welcoming and helpful? Were the admission staff welcoming and helpful? Excellent Good Average Poor

How well did the reception staff manage waiting time in the reception area?? How well did the reception staff manage waiting time in the reception area?? Excellent Good Average Poor

Was the hospital and your room neat and clean? Was the hospital and your room neat and clean? Excellent Good Average Poor

Did the nursing staff treat you with courtesy and respect? Did the nursing staff treat you with courtesy and respect? Excellent Good Average Poor

Did the nursing staff explain things in a way that you could understand? Did the nursing staff explain things in a way that you could understand? Excellent Good Average Poor

How well did the physicians (doctors) communicate and treat you? How well did the physicians (doctors) communicate and treat you? Excellent Good Average Poor

Did you receive well prepared, warm and covered food? Did you receive well prepared, warm and covered food? Excellent Good Average Poor

How well did the hospital staff help you manage pain? How well did the hospital staff help you manage pain? Excellent Good Average Poor

Was discharge information well communicated and were assistance offered? Was discharge information well communicated and were assistance offered? Excellent Good Average Poor

Would you recommend MooiMed Private Hospital to friends and family? Would you recommend MooiMed Private Hospital to friends and family? Highly likely Likely Unlikely Highly unlikely

Remarks and Suggestions