Hospital Culture Feedback Form
When we say "culture," we mean the collective customs, values, beliefs, and behaviours that define a group or organisation. It encompasses the norms, traditions, and shared practices that influence how people within the group interact, make decisions, and perceive their environment. Culture shapes identity and cohesion, guiding the way members of the group communicate and collaborate.This form is completely anonymous and the results are intended to be shared with hospital management. Please do not include any identifying information.
What Hospital or Health Service is this regarding?
Do you feel that your hospital has a poor culture?
Yes
No
Maybe
What is your role?
Please Select
Midwife
Obstetrician
Anesthetist
Nurse
Allied Health
Student Midwife
Other
Tell us about your experience
What improvements do you want to see? What is the solution to this issue?
Any other comments?
Attach any information that you wish to share
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