Amrutha Hospitals Feedback Form
We value your opinion and strive to provide the best healthcare service. Please take a few minutes to share your experience with us. Your feedback is confidential and helps us improve.
Email *
Full Name
*
Date of Visit
*
MM
/
DD
/
YYYY
Department Visited *
Doctor's Name (if known)
How would you rate your overall experience? *
How satisfied were you with the following? *
1
2
3
4
5
Cleanliness
Staff behavior
Waiting time
Doctor consultation
Billing experience
Was the medical staff polite and professional? *
Were your concerns/questions addressed properly? *
Any suggestions or additional comments?
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