Luton Happiness Meter

Luton Happiness Meter

We are here to restore your smile.

Help us care for you better—please share your feedback or suggestions.
1. WHICH SERVICES DID YOU RECEIVE DURING YOUR VISIT TO LUTON HOSPITAL?

Rows INPATIENT OUTPATIENT

Services

3. KINDLY RATE YOUR OVERALL EXPERIENCE ON A SCALE OF 1 TO 5. (1 = Very Poor, 5 = Excellent)

Rows	1 – VERY POOR	2 – POOR	3– FAIR	4–GOOD	5 – EXCELLENT
Experience

2. HOW DID YOU KNOW ABOUT US?

4. WE VALUE YOUR OPINION. KINDLY RATE YOUR EXPERIENCE WITH EACH DEPARTMENT YOU INTERACTED WITH.

Rows	VERY POOR	FAIR	GOOD	EXCELLENT
CUSTOMER CARE
RADIOLOGY
PHARMACY
BILLING
DENTAL
OPTICAL
DOCTORS
NURSES
LABORATORY
SECURITY
CLEANLINESS & SANITATION
PHYSIOTHERAPY

5. DID THE DOCTOR ADDRESS YOUR MAIN CONCERN TODAY?

Rows	YES	NO	PARTIALLY
THE DOCTOR UNDERSTOOD AND RESOLVED MY MEDICAL NEEDS

6. WOULD YOU REFER SOMEONE TO US?
7. WHAT DID YOU LIKE MOST ABOUT YOUR VISIT, AND WHAT IS THE ONE THING WE CAN IMPROVE TO SERVE YOU BETTER?
8. Is there any STAFF member you would like to appreciate? (write his/her name)
9. MAY WE CONTACT YOU TO HELP US IMPROVE YOUR EXPERIENCE? Please share your phone number or email address.
Format: (000) 000-0000.
Should be Empty: