, Patient Feedback - Uppal Hospital

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Home
About us
Centre Of Excellence
Our Specialities
International Patient
Our Services
Our Doctors
Education
Our Clinics
- Jammu Clinic
- Srinagar Clinic
Media & CSR

Patient Feedback

OPD Form Feedback

IPD Form Feedback

OPD Form Feedback

Name *

Contact Number *

1. How Would you describe overall experience *

Outstanding
Good
Satisfactory
Unsatisfactory

2. Consultant I Doctor's *

Outstanding
Good
Satisfactory
Unsatisfactory

3. Behaviour of Support Stall *

Outstanding
Good
Satisfactory
Unsatisfactory

4. Ambience *

Outstanding
Good
Satisfactory
Unsatisfactory

5. Front Desk & Reception *

Outstanding
Good
Satisfactory
Unsatisfactory

6. Diagnostic Services (MRI, NCS,EEG, ECG,X Ray, USG,TCD, ECHO) *

Outstanding
Good
Satisfactory
Unsatisfactory

7. Services In Parting, Cafeteria and Wai ing Areas *

Outstanding
Good
Satisfactory
Unsatisfactory

8. Laboratory Services *

Outstanding
Good
Satisfactory
Unsatisfactory

9. Pharmacy *

Outstanding
Good
Satisfactory
Unsatisfactory

10. Dietary Counselling Diel Guidelines *

Outstanding
Good
Satisfactory
Unsatisfactory

11. Wailing time for any of the services *

Outstanding
Good
Satisfactory
Unsatisfactory

Waiting Time *

15 mins
15·30 mins
30·45 mins
45mins

Would you recommend us to other *

Yes
No

Any Comment or suggestion

IPD Form Feedback

Name *

Contact Number *

Admission process

Behavior to staff *

5
4
3
2
1

Promptness *

5
4
3
2
1

Explanation of estimate *

5
4
3
2
1

Response *

5
4
3
2
1

Consultant/ Doctors

Counseling *

5
4
3
2
1

Treatment Process *

5
4
3
2
1

Nursing Services

Treatment Explanation *

5
4
3
2
1

Promptness and care *

5
4
3
2
1

Behavior of staff *

5
4
3
2
1

Room Comfort

Room facilities *

5
4
3
2
1

Comfort level *

5
4
3
2
1

Housekeeping

Cleanliness and unkeep *

5
4
3
2
1

Behavior of staff *

5
4
3
2
1

Radiology MRI, CT Scan, USG, X-Ray

Service on time *

5
4
3
2
1

Lab Services

Service on time *

5
4
3
2
1

Safety & Security

Behavior of staff *

5
4
3
2
1

Parking Services *

5
4
3
2
1

Dietary Services

Dietary Counseling *

5
4
3
2
1

Food & Beverages Services

Quality of food *

5
4
3
2
1

Service on time *

5
4
3
2
1

Discharge Process

Experience *

5
4
3
2
1

Billing

Billing Experience *

5
4
3
2
1

Counseling by Staff *

5
4
3
2
1

Overall Experience

Satisfaction score *

5
4
3
2
1

Would you recommend us to others? *

Yes
No

Any Comment or suggestion *

UPPAL NEURO HOSPITAL was established on 14th Dec. 2000, for advanced patient care for the treatment of complex neuro disorders such as: Stroke, Epilepsy, Headache, Trauma, Neurosurgery, Spine & other Neuromuscular Disorders.

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Services

Neuro Imaging Centre
Neuro Physiology Diagnostic Centre
Academics
Pharmacy
Dietary Services
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UPPAL NEURO HOSPITAL 4 Rani Ka Bagh, Amritsar-143001 Punjab
neuroamritsar@yahoo.com
0183-2229696

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IPD Patient Feedback Form

Name *

Contact Number *

Admission process

Behavior to staff *

5
4
3
2
1

Promptness *

5
4
3
2
1

Explanation of estimate *

5
4
3
2
1

Response *

5
4
3
2
1

Consultant/ Doctors

Counseling *

5
4
3
2
1

Treatment Process *

5
4
3
2
1

Nursing Services

Treatment Explanation *

5
4
3
2
1

Promptness and care *

5
4
3
2
1

Behavior of staff *

5
4
3
2
1

Room Comfort

Room facilities *

5
4
3
2
1

Comfort level *

5
4
3
2
1

Housekeeping

Cleanliness and unkeep *

5
4
3
2
1

Behavior of staff *

5
4
3
2
1

Radiology MRI, CT Scan, USG, X-Ray

Service on time *

5
4
3
2
1

Lab Services

Service on time *

5
4
3
2
1

Safety & Security

Behavior of staff *

5
4
3
2
1

Parking Services *

5
4
3
2
1

Dietary Services

Dietary Counseling *

5
4
3
2
1

Food & Beverages Services

Quality of food *

5
4
3
2
1

Service on time *

5
4
3
2
1

Discharge Process

Experience *

5
4
3
2
1

Billing

Billing Experience *

5
4
3
2
1

Counseling by Staff *

5
4
3
2
1

Overall Experience

Satisfaction score *

5
4
3
2
1

Would you recommend us to others? *

Yes
No

Any Comment or suggestion *

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