Hospital Administration Improvement Feedback Survey
Please share your feedback to help us enhance our hospital administration services. Your responses are confidential and greatly appreciated.
Your Role
*
Please Select
Patient
Visitor
Staff Member
Other
Department or Area Visited
*
Please Select
Emergency
Outpatient
Inpatient
Laboratory
Radiology
Billing
Other
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate the following aspects of hospital administration
*
Rows
Excellent
Good
Fair
Poor
Efficiency of administrative processes
1
2
3
4
Helpfulness of administrative staff
5
6
7
8
Clarity of information provided
9
10
11
12
Waiting time for administrative services
13
14
15
16
Responsiveness to questions/concerns
17
18
19
20
How satisfied are you with the hospital's communication regarding procedures and policies?
*
Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
How would you rate the professionalism of the hospital administration staff?
*
1
2
3
4
5
Were your administrative needs addressed in a timely manner?
*
Yes
Partially
No
What is the most significant area where you believe hospital administration could improve?
*
Reducing wait times
Improving communication
Staff training and professionalism
Clarity of procedures
Other
Would you recommend our hospital based on your administrative experience?
*
Yes
Maybe
No
Please provide any additional comments or suggestions for improving hospital administration.
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