ClinicVoice – Patient Feedback

Your Name *

your answer

Your Phone Number *

your answer

Were you given clear instructions about your medications, follow-up appointments, and home care before discharge?

Yes, everything was clearly explained

Somewhat, but I needed more information

No, I did not receive clear instructions

How would you rate the overall quality of care received during your hospital stay?

Did you feel involved in decisions about your treatment and discharge plan?

Yes, completely involved

Somewhat involved

Not involved at all

Were the hospital facilities (rooms, restrooms, etc.) clean and comfortable?

What can we improve to enhance the experience of future patients?

your answer

Discharged Patients Feedback Form