Feedback

seeks to improve upon the experience of care received by its cherished clients/patients. This form therefore seeks to solicit feedback from you on the quality of care you received during your journey to enable us continuously improve upon our services. Thank you for your feedback.

Feedback Notification Form.

Gender

Age

Do you have a valid NHIS card?

Yes No

Is today your first time in this department?

Yes No

Is today your first time in this hospital?

Yes No

What was your first reaction when referred to GARH for further care

Date

Time

Which of the following experiences is most important to you as a client in our health facility?

Will you recommend GARH to any of your family, friends or loved ones?

Yes No