NORMAH MEDICAL SPECIALIST CENTRE PATIENT SURVEY

Because "WE CARE", We Value Your Opinions

Dear Value Customers,

We at the Normah Medical Specialist Centre are sensitive to your needs and to your family's needs. Therefore it is our commitment to provide you superior healthcare services with state-of-the-art medical technology with team-work approach and personalized care.

Your feedback and opinion will go a long way in the continuous improvement of our services and for serving our patients even better. Please take a few minutes to complete this form and submit to us.

Thank you for your confidence in choosing Normah Medical Specialist Centre

How do you rate our service?
A. ADMITTING PROGRESS
1. Overall impression
2. Friendly and helpful staff
3. Staff able to provide adequate information
4. How long did you wait before your admission was processed?

min
5. Comments (if any)
B. YOUR ROOM
1. Overall impression
2. Cleanliness of the room
3. Cleanliness of the toilet
4. Service provided by Housekeeper/Attendants
5. Quietness
6. If not quiet, noise was due to
7. Comments (if any)
C. NURSING SERVICE
1. Overall impression
2. Friendly and helpful nurses
3. Nurses able to provide adequate information
4. Standard of nursing care
5. Promptness in answering call bell
6. How long did you wait before your call bell was answered?

min
7. Comments (if any)
D. FOOD
Were you on a special diet?
1. Overall impression
2. Taste
3. Temperature
4. Variety
5. Comments (if any)
E. DISCHARGE PROCESS
1. Overall impression
2. Nurses able to provide adequate information about discharge process
3. Friendly and helpful cashier
4. Cashier able to assist you with your questions on the hospital bill
5. How long did you wait to pay your discharge bill?

min
6. Comments (if any)
F. OTHER SERVICES
If you have made use of the following services during your stay, please tell us how you found them:
F1  X-ray  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
F2 Laboratory  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
F3 Rehabitation  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
F4 Concierge (Porter)  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
F5 Telephone Operators  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
F6 Value Services  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
F7 Patient Relations Services  
1. Friendly & Helpful Staff
2. Prompt Services
3. Clear Explanation/Information
4. Overall Impression
G. OVERALL RATING OF HOSPITAL
1. What is your overall rating of NMSC?
2. Was your stay here a value-for-money experience?
    If not, why not?
H. Is/Are there any person(s) you would like to mention for outstanding service delivery?
I. How could we have made your stay even more pleasant/comfortable?
J. Where was your point of admission?
K. Reason for choosing NMSC:
L. Is this your first visit to NMSC?
M. Would you return here for treatment?
    If not, why not?
N. Would you recommend NMSC to friends/relatives?
    If not, why not?
O. TELL US MORE ABOUT YOURSELF/THE PATIENT
1. Ward:
2. Date of Admission: (dd/mm/yyyy)
3. Room Number:
4. Date of Discharge: (dd/mm/yyyy)
5. Name of Patient:
6. Contact No:
7. Email Address 1:
8. Email Address 2:

 

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