Patient Survey

 
MooiMed Quality Survey Feedback:
Questions marked by * are required.
Name: *
Surname: *
Email: *
Patient at MooiMed for following reason:
 
 
Please complete the following survey regarding your stay with us to help us improve and maintain our top quality service:
 
Reception at Admin office: *
  • Excellent
  • Good
  • Average
  • Fair
  • Poor
Food and Dining: *
  • Excellent
  • Good
  • Average
  • Fair
  • Poor
Overall care and nursing: *
  • Excellent
  • Good
  • Average
  • Fair
  • Poor
Bed and Accommodation: *
  • Excellent
  • Good
  • Average
  • Fair
  • Poor
Additional comments: