Customer Feedback Form

Dear valued client, your opinion matters to us. We would like your feedback or any comments you may have that will help us further enhance our services.

Name *

First

Last

Email *

Telephone / Mobile

Type of Feedback *

Suggestion
Compliment
Complaint

Branch *

Eldoret
Kericho Annex

Type of Client *

Outpatient
Inpatient
Other

Hospital Cleanliness *

Excellent
Average
Poor

Reception/ Enquiries *

Excellent
Average
Poor

Attending Doctor/s *

Excellent
Average
Poor

Nursing Care *

Excellent
Average
Poor

Admission Process *

Excellent
Average
Poor

Ward Facilities *

Excellent
Average
Poor

Toilet(s) / Bathroom(s) *

Excellent
Average
Poor

Food / Diet *

Excellent
Average
Poor

Laboratory Services *

Excellent
Average
Poor

Pharmacy *

Excellent
Average
Poor

Billing Process *

Excellent
Average
Poor

Discharge Process *

Excellent
Average
Poor

Additional Information

We thank you for your support & always look forward to serving you

Confidentiality

Any information we gather through this Customer Feedback System is used for service improvement and will not be used for any other purpose.

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