Feedback IP

Name*

MR No*

Mobile*

Email

How did you come to know about MIOT Hospitals?*

Airport Newspaper Inserts Bus Back Panel Bus Shelter Doctor Referral Hoardings Newspaper Advert Newspaper Inserts Online Advertisements (Facebook, Whatsapp, Google) Outreach Clinic Overseas Government Referral Private Sector Corporate Public Sector Corporate SMS Theatre TV Word of Mouth (Friends & Relatives)

Please rate your experience in the following areas.

Excellent

Very Good

Good

Fair

Poor

Promptness at the reception & registration counter*:

5 stars 4 stars 3 stars 2 stars 1 star

PRO / Secretaries*:

5 stars 4 stars 3 stars 2 stars 1 star

Experience with the doctor*:

5 stars 4 stars 3 stars 2 stars 1 star

Nursing Care*:

5 stars 4 stars 3 stars 2 stars 1 star

Responsiveness of Hospital staff*:

5 stars 4 stars 3 stars 2 stars 1 star

Dietician guidance and care:

5 stars 4 stars 3 stars 2 stars 1 star

Laboratory Services*:

5 stars 4 stars 3 stars 2 stars 1 star

Diagnostic services (Labs, X-ray, MRI, CT etc..)*:

5 stars 4 stars 3 stars 2 stars 1 star

Privacy maintained during medical examinations*:

5 stars 4 stars 3 stars 2 stars 1 star

Admission Process*:

5 stars 4 stars 3 stars 2 stars 1 star

Billing Process*:

5 stars 4 stars 3 stars 2 stars 1 star

Explanation on Medication, Discharge Summary & Next Review*:

5 stars 4 stars 3 stars 2 stars 1 star

Discharge process*:

5 stars 4 stars 3 stars 2 stars 1 star

Pharmacy*:

5 stars 4 stars 3 stars 2 stars 1 star

Cafeteria F&B services*:

5 stars 4 stars 3 stars 2 stars 1 star

Hospital Cleanliness*:

5 stars 4 stars 3 stars 2 stars 1 star

Security Services*:

5 stars 4 stars 3 stars 2 stars 1 star

Overall experience*:

5 stars 4 stars 3 stars 2 stars 1 star

Would you recommend MIOT to your Friends & Family?*

Yes

No

Would you consider MIOT for future medical needs?*

Yes

No

Comments / suggestions

Do you have any problems? Do you want us to contact you?*

Yes

No

Note: Based on your above feedback our operations team will be in touch with you within 24 hours to address your concerns / grievances. If you wish to contact us immediately please reach out to our operations team on 4200 2220, 2249 9880 or email operations@miotinternational.com