OPD Feedback Form

Dear Patient / Relative / Visitor

Thank you for having faith in us. Your continuing suggestions & support will help to make our Hospital a better organization. Kindly spare a few moments to complete the following, so that we can strive to fulll your expectations.

Please Tell Us

Is this your first visit to Nazar Kanwar Surana Hospital? Yes No

Why did you choose Nazar Kanwar Surana Hospital? (Tick all that apply)

Doctor's & Clinical Expertise

Medical Services

Doctor's Recommendation

Friends/Relative's Recommendation

Insurance Requirements

Location

Others (Please specify)




Would you recommended this hospital to your friends or family? Yes No

Reception/Enquiry Staff Excelent Good Average Poor

Registration Excelent Good Average Poor

Medical Care (by the doctor) Excelent Good Average Poor

Report collection system Excelent Good Average Poor

Overall Cleanliness Excelent Good Average Poor

Did you avail any diagnostic services (Lab, Radiology) at Nazar Kanwar Surana Hospital? Yes No

If yes, how did you find the service Excelent Good Average Poor

Waiting time at the time of Registration Immediate Within 10 min Within 30 min Less Than 30 min

Waiting time for the Doctor Immediate Within 10 min Within 30 min Less Than 30 min

Your compliments and concerns are important for us.
Thank you for your feedback and helping us to serve you better

Submit