feedback.maxcarehospital.online

Welcome to the MaxCare feedback online form. We really appreciate you taking the time to complete this important exercise. It will only take you about 2 minutes to complete.

Client Feedback Form

What was the mode of your visit to Maxcare Hospital *

Doctors Consultation Visit

I was Admitted

Select one mode of visit to get started. Press the arrow down to reveal the questions.

Outpatient Care - Doctor's Consultation

How did you know about Maxcare Hospital? *

Recommended to me by Family/Friend

Google / Google Maps

Social Media and Ads

I live in the Neighborhood

Maxcare Outreach Program

Emergency / Accident

Reception welcome and courtesy. *

Very Poor

Poor

Good

Very Good

Excellent

Helpfulness of front desk when you had questions. *

Very Poor

Poor

Good

Very Good

Excellent

Professionalism at reception (friendly, respect for privacy). *

Very Poor

Poor

Good

Very Good

Excellent

Timeliness of start of service (BP Check) from registration completion. *

Very Poor

Poor

Good

Very Good

Excellent

Privacy during triage (BP, Pulse & Temperature Check) *

Very Poor

Poor

Good

Very Good

Excellent

Doctor's Level of Professionalism *

Very Poor

Poor

Good

Very Good

Excellent

The doctor's level of knowledge and understanding. *

Very Poor

Poor

Good

Very Good

Excellent

Clarity about tests/treatments and expected costs before paying. *

Very Poor

Poor

Good

Very Good

Excellent

Availability of prescribed medicines at the pharmacy *

None were available

A few were available

Most were available

I was given all but some substituted

All were available

Pharmacist’s explanation of how to take the medicines. *

Very Poor

Poor

Good

Very Good

Excellent

Transparency of the bill (what you were charged for). *

Very Poor

Poor

Good

Very Good

Excellent

Ease of payment (methods available, speed at cashier). *

Very Poor

Poor

Good

Very Good

Excellent

How do you find the pricing Maxcare services? *

Exorbitant

Expensive

Neutrally Priced

Fairly Priced

Affordable

Cleanliness of waiting areas and toilets. *

Very Poor

Poor

Good

Very Good

Excellent

Speed from arrival to registration. *

Very Poor

Poor

Good

Very Good

Excellent

Speed from triage/registration to seeing the clinician. *

Very Poor

Poor

Good

Very Good

Excellent

Speed from payment/prescription to receiving medicines. *

Very Poor

Poor

Good

Very Good

Excellent

Overall OPD experience today. *

Very Poor

Poor

Good

Very Good

Excellent

Did any member(s) of our staff perform exceptionally well today? *

Yes

No

Kindly share their name(s) below

How likely are you to recommend Maxcare Hospital to friends or family? *

010

5

Kindly share with us what you strongly feel we should improve on as a hospital. *

Inpatient - Post Discharge Feedback

How did you know about Maxcare Hospital? *

Recommended to me by Family/Friend

Google / Google Maps

Social Media and Ads

I live in the Neighborhood

Maxcare Outreach Program

Emergency / Accident

Smoothness and flow of the admission process. *

Very Poor

Poor

Good

Very Good

Excellent

Nursing responsiveness when you needed help. *

Very Poor

Poor

Good

Very Good

Excellent

Pain control during your stay. *

Very Poor

Poor

Good

Very Good

Excellent

Night-time quietness and restfulness of the ward. *

Very Poor

Poor

Good

Very Good

Excellent

Ward and bathroom cleanliness. *

Very Poor

Poor

Good

Very Good

Excellent

Doctor’s explanation of diagnosis, investigations, progress and daily plan. *

Very Poor

Poor

Good

Very Good

Excellent

How involved you felt in care decisions. *

Very Poor

Poor

Good

Very Good

Excellent

Clarity of discharge instructions, home care, danger signs and follow up. *

Very Poor

Poor

Good

Very Good

Excellent

Availability of discharge medicines. *

Very Poor

Poor

Good

Very Good

Excellent

Coordination of cleaning staff, nursing team and doctors during your stay. *

Very Poor

Poor

Good

Very Good

Excellent

Generally how available was the water in your room? *

Never Available

Erratic Supply

Available for a few scheduled hours

Available most of the time

Always available

Generally how available was the Electricity in your room? *

Never Available

Erratic Supply

Available for a few scheduled hours

Available most of the time

Always available

Overall how would you rate your admission experience? *

Very Poor

Poor

Good

Very Good

Excellent

Did any member(s) of our staff perform exceptionally well during your stay admission period? *

Yes

No

Kindly share their name(s) below

How likely are you to recommend Maxcare Hospital to friends or family? *

010

5

Kindly share with us what you strongly feel we should improve on as a hospital. *

If you are human, leave this field blank.