FEEDBACKPATIENT INFORMATION I am a * PatientAttenderVisitor Name of the Patient * Contact Number* Email Id * Visit Date * Room Number (If you are an in-patient) FEEDBACK SURVEY Reception (Guidance & Response to queries) ExcellentVery GoodGoodSatisfactoryPoor Treatment by Physicians / Consultants ExcellentVery GoodGoodSatisfactoryPoor Pharmacy ExcellentVery GoodGoodSatisfactoryPoor Nursing Staff Care (Attitude & Promptness) ExcellentVery GoodGoodSatisfactoryPoor Billing (Response to queries & Promptness) ExcellentVery GoodGoodSatisfactoryPoor Cleaning & Hygiene ExcellentVery GoodGoodSatisfactoryPoor Overall Courtesy ExcellentVery GoodGoodSatisfactoryPoor Name of Staff Any Other Remarks Reason Please rate your experience at Supreme Specialty Hospitals * ExcellentVery GoodGoodSatisfactoryPoor Submit 4.2/5 - (115 votes)
