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OT Survey
HealthHub Day Surgery Patient Satisfaction Survey
MRN
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Date of the Procedure
*
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We hear you! Let us know about your experience at HealthHub Day Surgery Unit
Excellent
Great
Good
Bad
Very Bad
How would you rate the check-in process and waiting time before your procedure?
How would you rate the professionalism and assistance received by the staff?
How would you rate the overall facility?
How would you rate the level of compassion, dignity and respect shown to you throughout your stay?
Were you given all the privacy you needed during your stay?
Did your doctor fully explain the procedure/treatment beforehand in a way that you could understand?
Did your doctor give you (or your family) an opportunity to ask questions about your treatment/procedure?
After your procedure, did you experience any pain, if so, was your pain managed satisfactorily?
Next
How would you rate the overall experience during your procedure?
Excellent
10
9
Great
8
7
Good
6
5
Neutral
4
3
Very Bad
2
1
Would you recommend our facility to your friends and family?
Yes
No
Why did you choose Al-Futtaim Health for your procedure?
Select Option
Doctor
Insurance Company
Friend/Family/Employer
Near my home
Recognition/Brand reputation
Sound expertise
Sound facilities
Ambience
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Please provide any additional feedback or suggestions
Max 400 characters are allowed
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Thank you for your valuable feedback!
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