Home/Patient Experience & Feedback Patient Experience & FeedbackHORIZON HOSPITAL Patient Experience & Feedback Introduction Your experience matters to us. Thank you for choosing Horizon Hospital. We are committed to providing safe, compassionate and high-quality healthcare. We would appreciate a few minutes of your time to tell us about your recent experience. Your feedback helps us recognise what we are doing well and identify opportunities to improve our services. Please note: This form is intended for patient feedback and experience. If you wish to make a formal complaint, please use our Patient Complaint Form.1. About Your VisitWhat type of service did you receive? Outpatient / OPD Emergency Inpatient / Hospital Admission Diagnostic / Laboratory Pharmacy OtherDate of visitWhich service or department did you visit?2. Your ExperienceHow satisfied were you with the following aspects of your experience? Ease of making your appointment Very Poor Poor Good Very Good ExcellentReception and registration Very Poor Poor Good Very Good ExcellentDoctor / Consultant's care Very Poor Poor Good Very Good ExcellentWaiting time Very Poor Poor Good Very Good ExcellentNursing / Clinical staff Very Poor Poor Good Very Good ExcellentHospital facilities Very Poor Poor Good Very Good ExcellentOverall quality of care Very Poor Poor Good Very Good Excellent3. Your Overall ExperienceHow would you rate your overall experience at Horizon Hospital?* Very Poor Poor Good Very Good ExcellentDid our healthcare team explain your care clearly and answer your questions?* Yes, definitely Yes, mostly Partly No Not applicableDid you feel that you were treated with dignity, respect and compassion?* Yes, definitely Yes, mostly Partly NoWill you recommend Horizon Hospital to your family or friends?* No May be Yes Definately Yes4. Tell Us MoreIs there anything we could do better?What did we do particularly well during your visit?5. About YouI am completing this feedback as:* Patient Parent / Guardian Family Member Attendant / Caregiver OtherPatient Patient First NameLast Patient NameYour First NameLast NameMobile NumberEmail6. Follow-upWould you like a member of Horizon Hospital's team to contact you regarding your feedback?* Yes NoSubmit Form
