Feedback In-Patient

Patient Name*

MR No*

Room/Bed No*

Block*

Please rate your experience in the following areas.

Excellent

Very Good

Good

Fair

Poor

Nursing Staff Helpfulness*:

5 stars 4 stars 3 stars 2 stars 1 star

Skill set of Nursing Staff*:

5 stars 4 stars 3 stars 2 stars 1 star

How satisfied are you with the explanation given by the treating doctor on health condition*:

5 stars 4 stars 3 stars 2 stars 1 star

Did you receive your food on time?*:

5 stars 4 stars 3 stars 2 stars 1 star

How satisfied are you with the quality of food?*:

5 stars 4 stars 3 stars 2 stars 1 star

Response of House Keeping staff to your Concerns or Complaints*:

5 stars 4 stars 3 stars 2 stars 1 star

Cleanliness of Toilets*:

5 stars 4 stars 3 stars 2 stars 1 star

Cleanliness of Bed sheets, pillow-covers, etc*:

5 stars 4 stars 3 stars 2 stars 1 star

Did PRO provide timely communication on billing and other communications?*:

5 stars 4 stars 3 stars 2 stars 1 star

Do you have any suggestions to improve our service?

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