Diabetes Helpline Number

(for appointment only) : 1800 425 0005

Collaborating Center

MV Diabetes
Feedback Form
Share Your Experience...
Dear Guest, Thank you for visiting M.V.Hospital. Kindly share your experience with us so that we can strive hard to serve you better. Your comments will be kept confidential.
Patient Name :   For IP patients only  
Age:   Room No:
D.No. :   Date of Admission:
Contact No :   Date of Discharge:
Visit Date (for OPD) :      
 
S.No. Department Attributes Percentage Scale

Remarks

Not Applicable Poor
(<40%)
Satisfactory
(40%-60%)
Good
(60%-75%)
V.Good
(75%-90%)
Excellent
(>90%)
1 Reception • Response to Queries
• Guidance
2 Registration • Timeliness
• Proper Explanation of MVH Procedure
3 OPD/IPD • Medical History Recording
• Medical Examination
• Staff Guidance
• Staff Attitude
4 Diet Analysis • Dietary Advise
• Diet Chart
5 Education • Diabetes Class
• Counseling Approach
6 Podiatry /
Wound Clinic
• Care
• Guidance / Instructions
7 Consultants • Care given during your visit
8 Pharmacy • Timeliness
• Response to queries
9 Nursing • Timely Medication
• Care
• Promptness in Attending
10 Housekeeping • Regular Cleaning
• Toilet Cleaning
• Overall Courtesy
11 Maintenance • Status of Electrical items (A/C, Lights, Fans, TV, Telephone, etc.,)
• Promptness in Attending
12 OP/IP Billing • Courtesy
• Promptness in Attending
• Response to queries
13 Canteen • Timeliness
• Quality of Food
• Grooming
• Serving right order
14 Investigation Dept. • Laboratory
• ECG
• X-Ray
• Foot Care
• Diabetes Prevention
• Eye Dept
• Dental
• Scan / Echo / TMT
• Physiotherapy
15 Others • Foot Wear
• Pedicure
• Massage / Yoga Class
  Any other comments
  As an appreciation to our staff members, please feel free to mention any staff who has taken good care of you during your stay at the hospital. Staff Name
Reason
  Type the code as shown in the image M.V. Hospital Feedback