Patient Feedback Form

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PATIENT FEEDBACK FORM

Dear Valued Patient, Thank you for choosing and trusting South Shore Women’s and Children’s Hospital. It is our pleasure to have and serve you at all times. We are committed to offering you all-round best services. In order to achieve this, we would love to hear from you!. Your assistance in completing this questionnaire with your honest feedback will help us accurately improve our services; just FOR YOU. On a scale of 1- 5, 1 being “poor” and 5 being “excellent”, kindly rate our service delivery to you on this visit.

(KINDLY TICK THE BOXES APPROPRIATELY)
5. How would you rate the service delivery of the personnel that attended to you?  
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