Thank you for choosing Aga Khan University Hospital’s emergency department. Please complete the feedback form below to share your experience.

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* 1.
Please rate the following aspects of your experience at the emergency department and select the response you agree with the most.

  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree N/A
It was easy to find a wheelchair or gurney/stretcher, if needed
Porters were available and assisted you, if needed
I am satisfied with the waiting time of the ED
The ED consultant visited me and addressed my concerns
I am satisfied with my experience with the ED consultant
I am satisfied with my experience with the ED duty doctors
I am satisfied with my experience with the ED nursing staff
Follow-up instructions were provided upon discharge

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* 2.
Overall, I feel satisfied with my experience with the emergency services at AKUH.

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* 3. How likely is it that you would recommend The Aga Khan University Hospital to a friend or colleague?

Not at all likely
Extremely likely

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* 4. Please let us know if you have any other feedback or suggestions.

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* 5. Patient's M.R. number:

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* 6. Patient's name:

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* 7. Email address:

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* 8. Area of residence/city:

T