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Post Discharge Inpatient Feedback Form Template

Get feedback from inpatients about their entire experience and satisfaction of stay during the hospital using this post discharge inpatient feedback form template.

A Post Discharge Inpatient Feedback Form helps you to know how satisfied are your patients after the discharge. 

The questions in our post discharge inpatient feedback form cover all the detailed questions regarding patient discharge. Find out if the patient got the care during their treatment. You get to know whether the patients will recommend the hospital to others or not. 

This feedback form gets direct input from the patient themselves, so you can determine the pain points of the patient. It covers questions such as how was your stay at the hospital, how would you rate the ward facilities, how was the reception and enquiry service and more.

To create a survey using the Post Discharge Inpatient Feedback Form Template, just sign up or sign in to Zonka Feedback. You’ll be able to choose this Survey Template when you begin creating your feedback form or survey.

List of Post Discharge Inpatient Feedback Form

The following questions are included in this Post Discharge Inpatient Feedback Form Template.

  • How would you rate the product's overall performance till now?
  • Select the most compelling reason behind your buying the product
  • How likely are you to buy a product again from us?
  • Have you ever had a chance to speak to our customer service representative?
  • How satisfied are you with the product?

Sign Up on Zonka Feedback for free and implement a Post Discharge Inpatient Feedback Form Template in your account to capture the data.

Create and send this Post Discharge Inpatient Feedback Form Template

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