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Hospitalized Patient Satisfaction Survey

Your feedback will help us better meet your expectations.

Please tick the most relevant box.

Date : 
Open date/time selector
About You
Room Number:
a- You are:                

b- Your age is between:

c- You have been in the hospital for:

d- You have been admitted through:
e- How many times were you hospitalized at HDF in the past 2 years, including your current hospitalization?  

f- Were you hospitalized in another hospital during this time?

If yes, which hospital?
About your current hospitalization

were you satisfied…

1- Given information

All the time Most of the time Sometimes Not at all
by your doctor on your health condition?
by the healthcare team?
upon booking your stay?

2- Quality of service (waiting time, courtesy, confidentiality) during:

All the time Most of the time Sometimes Not at all
your admission
at the Medical Imaging Department
in the Operating Room

3- Attitude of health professionals (availability, politeness and respect for your privacy):

All the time Most of the time Sometimes Not at all
of doctors, residents or interns during your stay?
of nurses during your stay?
of other health professionals in the department (bath, answering call buttons…)?

4- Hospital food service

All the time Most of the time Sometimes Not at all
the quality of the meals served (cleanliness, taste …)?
the presentation of the meals served?
the variety of the meals served?

5- Room amenities

All the time Most of the time Sometimes Not at all
the comfort of the room
the cleanliness of the room
TV/Phone/Internet services

6- Overall patient care

All the time Most of the time Sometimes Not at all
your stay at the hospital?
the overall quality of care?
Would you recommend Hôtel-Dieu de France to your close ones?

Do you have any comments and/or suggestions to improve our services and better meet your needs?