New Parent Maternity Ward Feedback Form
Name
Baby's Date of Birth
Ward Name/Number
Your Experience
How would you rate the care provided by the staff?
Excellent
Good
Average
Poor
How would you rate the communication from staff?
Excellent
Good
Average
Poor
How would you rate the cleanliness of the ward?
Excellent
Good
Average
Poor
How would you rate the facilities available?
Excellent
Good
Average
Poor
Were you offered helpful feeding support?
Yes
No
Was the discharge process clearly explained?
Yes
No
Additional Comments
What went well during your stay?
What could be improved?
Any other comments?