Patient Satisfaction Questionnaire

Thank you for choosing Hôpital Notre Dame Maritime. Your feedback helps us improve our services. Please take a few minutes to complete this survey. All responses are confidential.

Email *
General Information

Age

 *
Gender *
Department or Service  *
Date of visit *
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Reception & Admission
Was the reception staff courteous and helpful? *
How would you rate the waiting time before being seen? *

Medical Care Quality

Did the doctors listen carefully and address your concerns? *
Did the nursing staff provide care with professionalism and compassion? *
Were the explanations regarding your treatment or procedure clear? *
Hospital Facilities
How would you rate the cleanliness of the hospital?
 *
Was it easy to find your way around the hospital? *
Discharge Process
Was the discharge process smooth and well organized?
 *
Overall Satisfaction
Overall, how satisfied are you with your experience at our hospital? *
Would you recommend our hospital to your family and friends? *
Full Name (optional)
Room Number (for inpatients)
Comments & Suggestions
Please share any comments, suggestions, or areas for improvement:
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