Name (optional)

Surname (optional)

Your procedure

Ophthalmology Ears, Nose & Throat Dentistry Maxilla - Facial Urology Gynaecology Orthopeadic General Surgery Plastic Surgery Neurosurgery Select an option

Your age category

Under 18 18-21 22-25 26-30 31-35 36-40 41-45 46-50 51-55 56-61 Over 61 Select an option

Your gender

Male Female Choose not to disclose Select an option

Your attending doctor

Your medical administrator

Select an option 3Sixty Health AFA Afrocentric Agility Alliance-Midmed  Bestmed CAMAF Cape Medical Plan COID Discovery Discovery Health Genesis Medical Scheme Liberty Health Medihelp Medscheme Medscheme Namibia Methealth Namibia Momentum Health Solutions

Your medical scheme

Your email address (optional)

Nursing / admin staff

All staff are friendly, respectful and helpful

Excellent Average Poor Select an option

Information required from you prior to your procedure was clearly communicated

Yes No Select an option

Admission process clear and understandable

Yes No Select an option

Patient privacy is respected during your stay

Excellent Average Poor Select an option

Our Nursing Staff provided explanations to your questions and responded to your needs

Yes No Select an option

Our Admin Staff assisted you with your administrative needs and questions

Excellent Average Poor Select an option

Hospital environment

Waiting time before your procedure: Reception waiting area

Excellent Average Poor Select an option

Waiting time before procedure: in ward

Excellent Average Poor Select an option

Overall level of cleanliness and comfort in the ward

Excellent Average Poor Select an option

Overall level of comfort in the Reception waiting area

Excellent Average Poor Select an option

Cleanliness of our bathroom facilities

Excellent Average Poor Select an option

Minimum noise maintained for patient comfort

Yes No Select an option

Pain management and medication information

Pain is well controlled

Yes No Select an option

Your medication and its possible side effects was explained to you

Yes No Select an option

You were provided with a Discharge Information document detailing your post-operative instructions before you were discharged

Yes No Select an option

Please let us know if there is anything we could have done to improve your experience during your stay at our facility.