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Welcome to Al Adwani General Hospital – Patient Affairs Survey
Patient Name (Optional)
Room Number
MRN
Date
Admission Office
Select
Fair
Not Satisfied
Satisfactory
N/A
Medical Staff
Select
Fair
Not Satisfied
Satisfactory
N/A
Food Service
Select
Fair
Not Satisfied
Satisfactory
N/A
Housekeeping
Select
Fair
Not Satisfied
Satisfactory
N/A
Discharge Office
Select
Fair
Not Satisfied
Satisfactory
N/A
Comments
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