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What was your first impression of the hospital? (Greeting on arrival, Promptness of appointment, explanation of procedures)?
Excellent
Very Good
Good
Fair
Poor
Did you get the needed nursing care? (Keeping you informed, individual attention, response to questions)?
Excellent
Very Good
Good
Fair
Poor
Did they explain to you about your treatment? (Clinical condition, Investigations, recommendations, Costs involved)?
Excellent
Very Good
Good
Fair
Poor
How was the hospital facility?
Excellent
Very Good
Good
Fair
Poor
How do you rate the hospital hygiene?
Excellent
Very Good
Good
Fair
Poor
Overall Evaluation of the hospital.
Excellent
Very Good
Good
Fair
Poor
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