:: Hygeia HMO - Hygeia Corporate Plan ::

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		Our Location Our services to individuals & Small business

		Care Call Centre Our services to corporate bodies

		Feedback Form The National Health Insurance Scheme

We would like to hear about your experience with our scheme. It would help us identify areas that we are doing well and those that need improvement. If you prefer to speak to someone regarding your experience, you may call our 24hr Care Call Centre (01 - 773 6996, 776 2433).

Dateof Visit	Time Of Visit


Type Of Scheme	Type Of Plan
Corporate NHIS Individual/Family	Standard Silver Gold

1. In which department(s) were you seen?
Front Desk X-Ray Immunization Nutrition Laboratory Physiotherapy Pharmacy Admission	Dental Eye Clinic Emergency Antenatal Nursing Services General Practice Consultation Specialist Consultation (Specifics)

2. How would you rate the helpful/courteous manner shown to you?
Very Good Good Fair Poor Very Poor

3. Did you make an appointment for your visit?
Yes No

4. How long did you wait to see the doctor?
Less than 10 minutes 10 - 15 minutes 16 - 30 miniutes 30 - 45 minutes Longer than 1 hour

5. How would you rate the quality of customer service you received?
Very Good Good Fair Poor Very Poor

6. Did you feel the provider addressed your concerns and issues?
Yes No

7. Did the doctor explain your condition and the course of treatment to your satisfaction?
Yes No

8. What is the condition of the hospital facilities?
Very Good Good Fair Poor Very Poor

9. Will you recommend this hospital to your Colleagues/Friends/Family?
Yes No

10. Your comments are most welcome and will be handled with discretion.


May we share your name and location with the HMO Operations or Health care Provider?.
Yes No

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