Patient Feedback

We welcome compliments and feedback relating to your stay with us and we encourage all patients to complete our feedback form.

Contact Details

Name

Name must have at least 0 and no more than 256 characters.The value of the Name field is not valid.

Ward/Department

Ward/Department must have at least 0 and no more than 256 characters.The value of the Ward/Department field is not valid.

Room/Bed No

Room/Bed No must have at least 0 and no more than 256 characters.The value of the Room/Bed No field is not valid.

Date of Admission

YearMonthDay 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Date of Admission must be later than Saturday, January 01, 2000 and before Monday, May 05, 2025.

Patient or Visitor

Patient

Visitor

Would you like the opportunity to discuss this feedback?

Yes

No

Contact No

Contact No must have at least 0 and no more than 256 characters.The value of the Contact No field is not valid.

Did we meet your expectations of our hospital? Our Facilities

Please provide feedback by selecting the option which best matched your experience:

Your Room

Always

Usually

Sometimes

Never

NA

Cleaning Service

Always

Usually

Sometimes

Never

NA

Food Service

Always

Usually

Sometimes

Never

NA

Care

Staff Attitude

Always

Usually

Sometimes

Never

NA

Medical Care

Always

Usually

Sometimes

Never

NA

Nursing Care

Always

Usually

Sometimes

Never

NA

Allied Health Care

Always

Usually

Sometimes

Never

NA

*Allied Health Care includes: Physio, OT, Dietetics, Social Work, Speech Pathology, Psychiatry

Other

What should we continue doing?

What should we continue doing? must have at least 0 and no more than 512 characters.The value of the What should we continue doing? field is not valid.

What can we improve?

What can we improve? must have at least 0 and no more than 512 characters.The value of the What can we improve? field is not valid.

Any other comments?

Any other comments? must have at least 0 and no more than 512 characters.The value of the Any other comments? field is not valid.

 

 

Enter the code as shown

*

 

 

Please enter the code as shown

*