Maternity Ward Patient Satisfaction Survey
Patient Name
Date of Admission
Length of Stay (days)
Email (optional)
How would you rate your overall experience?
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5
How satisfied were you with the cleanliness of the ward?
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2
3
4
5
How satisfied were you with the staff's attitude and care?
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3
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5
How would you rate the communication about your care and treatment?
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5
How satisfied were you with the food and nutrition provided?
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5
What could we improve?
Any additional comments or suggestions?