Your Voice Matters

Patient Feedback Form

Help us improve your experience at Clover Hospital. Your feedback is confidential and only takes a few minutes.

A

Visit Information

What type of visit was this?

Was this your first visit?

Which areas did you interact with?

B

Security / Gate Experience

Courtesy and professionalism of security staff

Ease of entry and clarity of directions

First impression of the hospital environment

C

Reception & Waiting Area

Friendliness of reception staff

How long did you wait before being attended to?

Comfort and cleanliness of the waiting area

Clarity of information provided at reception

D

Nursing Care

Courtesy and empathy of nursing staff

Responsiveness to your needs

Quality of communication

E

Medical Officers / Doctors

Professionalism of the doctor

Clarity of diagnosis and treatment explanation

Time taken to address your concerns

Overall confidence in the care received

F

Laboratory Services

Waiting time for tests

Professionalism of laboratory staff

Clarity of instructions provided

G

Pharmacy Services

Pharmacy waiting time

Availability of medication

Explanation of how to use medication

Attitude and professionalism of staff

H

Inpatient Care

Attentiveness of attendants

Cleanliness and comfort of the ward

Overall support during your stay

I

Overall Experience

Overall, how satisfied were you with your visit?

How likely are you to recommend Clover Hospital to family and friends? (0 = Not at all, 10 = Extremely likely)

Did you experience any major delays or challenges?

J

Open Feedback

K

Follow-Up (Optional)

Would you like us to contact you about your feedback?

Preferred contact channel