Toggle navigation
Home
Contact us
Sign in
Consultant Feed Back Form (copy)
Customer Feedback Form
Where did you receive your consultation?
Rehabilitaiton Center – Amitha
Rehabilitation Center – Adrutha
Rehabilitation Center – Tristar Care
Rehabilitation Center – Anunitha
Cadabams Hospitals – J P Nagar
Cadabams Mind Talk – Indiranagar
Date:
How likely are you to recommend Cadabams to friends and family?
Extremely Likely
Likely
Neither likely nor Unlikely
Unlikely
Extremely Unlikely
Don’t Know
How long did you have to wait to consult our professional?
The way you were greeted by staff
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not apply
How would you rate your experience with our staff?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not Apply
How satisfied were you with the information (written or verbal) provided by our professional?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not Apply
Were you able to ask or consult the professional regarding all the questions you had?
Yes
No
How would you rate your overall experience at Cadabams?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not Apply
About you
I am
The Patient
Relative/Carer
Gender
Male
Female
Transgender
Please tell us your age
Under 18
18-35
36-55
56-75
76-85
Over 85
