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( For patients who have undergone treatment in our Hospital )
Dear Friend,
Greetings from Arya Vaidya Sala, Kottakkal!!!
We hope that you had a pleasant stay with us and that your needs were taken care off well. We do hope that your ailments for which you had undergone a course of treatment with us has subdued and you feel relived now. We wish you a speedy recovery during the ensuing days with the oral medication prescribed by out team of Doctors.
In order to serve you better, we are sure that you would like to share few thoughts with us. Kindly spare few moments for us to share your views.
1. Location
*
:
AH&RC, Aluva
AH&RC, Delhi
AH&RC, Kochi
AH&RC, Kottakkal
2. Patient File Number
:
3. Is this your first visit to Arya Vaidya Sala Hospital?
:
Yes
No
Remarks
:
4. How did you come to know about us?
:
Referred by Doctor
Advertisment in media
Word of mouth publicity
5. Whether your room bookings / Communications were prompt
:
Yes
No
6. Service offered by Arya Vaidya Sala
:
Physician
Satisfactory
Acceptable
Not Satisfactory
Treatment Assistants
Satisfactory
Acceptable
Not Satisfactory
Ward Assistants
Satisfactory
Acceptable
Not Satisfactory
Office
Satisfactory
Acceptable
Not Satisfactory
House Keeping / Caretaker
Satisfactory
Acceptable
Not Satisfactory
Telephone Operator
Satisfactory
Acceptable
Not Satisfactory
Laundry
Satisfactory
Acceptable
Not Satisfactory
Canteen
Satisfactory
Acceptable
Not Satisfactory
7. Your feeling of wellness after the Treatment
:
Highly Satisfied
Satisfied
Not Satisfied
8. Would you recommend Arya Vaidya Sala to your friends
:
Yes
No
9. Would you like to offer any suggestions?
:
10. Would you like to share any other information
:
11. Name
*
:
Door No.
:
Street No.
:
Town
*
:
District
*
:
State
:
PIN Code
*
:
Thank you for your valuable time and views.
We hope these views would go a long way in bettering our efforts to serve you.
LOKAA SAMASTA SUKHINO BHAVANTHU!!!
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2006 ARYA VAIDYA SALA - Kottakkal. All Rights Reserved.