Share Your Experience With Us PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameLast NameAgeDate of VisitFacility visited?Nvumabaranda Healthcare SolweziNvumabaranda Healthcare LumwanaNvumabaranda Healthcare KisasaNvumabaranda Healthcare KalumbilaEase of registrationVery PoorPoorFairGoodExcellentWaiting time before being seenVery PoorPoorFairGoodExcellentCourtesy of reception stuffVery PoorPoorFairGoodExcellentCourtesy & respect shown by nursesVery PoorPoorFairGoodExcellentCourtesy & respect shown by the clinicianVery PoorPoorFairGoodExcellentPrivacy during consultationVery PoorPoorFairGoodExcellentClear explanation of illness & treatmentVery PoorPoorFairGoodExcellentCleanliness of the facilityVery PoorPoorFairGoodExcellentOverall quality of care receivedVery PoorPoorFairGoodExcellentWere you treated with respect? (Yes/No)YesNoDid theyanswer your questions to your satisfaction? (Yes/No)YesNoWould you recommend this facility to your family and friends? (Yes/No)YesNoWould you return to this facility if you needed medical care again? (Yes/No)YesNoWhat did you like most about your visit?What can we improve?Any additional comments or suggestions?Overall SatisfactionVery DissatisfiedDissatisfiedSatisfiedVery SatisfiedSubmit
