BOOKLET COVER.pub - KwaZulu-Natal Department of Health

SERVICE ASSESSMENT FORM
ADMITTING DEPARTMENT
PLEASE TELL US WHAT YOU THINK
Pleasing our customers is the most important service we offer. You can help us maintain this
service by taking a minute to answer the questions below.
1. Was the Department clean? YES/NO
2. Did you receive excellent hospitality? YES/NO
3. Were you served speedily? YES/NO
4. How did/do staff welcome you in this
Department? EXCELLENT/MEDOCRE/
POOR
5. How effective is our service delivery? SLOW/MEDIUM/FAST
6. Do you know the people who are in charge
of the department in case you have a
problem? YES/NO
7. What is the estimated time that you feel you should wait to get your file on a busy
day? ___________________________
8. How would you like us to improve our Service Delivery?
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SUGGESTIONS:
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COMPLAINTS:
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QUESTIONS:
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Please feel free to discuss anything about our services. Your views and
comments are highly valued.
Thank You.