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Customer Feedback Form
Place where the Service was Received:
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 Cadabams to friends and family?
Extremely Likely
Likely
Neither likely nor Unlikely
Unlikely
Extremely Unlikely
Don’t Know
How would you rate your In-Patient experience at Cadabams?
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
Were you satisfied with the cleanliness and infrastructure at Cadabams?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not Apply
How would you rate your experience with our professionals during your stay here?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not Apply
Were you satisfied with the treatment approaches at Cadabams?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Does Not Apply
How would you rate your overall experience with our service?
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
