​In our efforts to improve our level of patient care within Hamad Medical Corporation, we welcome your comments and suggestions about any aspects of our hospitals and the services we provide. Please spare a few moments to complete the following form so that we can strive to meet your expectations.

We welcome all comments so that we can continually improve our services and standards.

From Where

Department/Unit/Clinic

Check One Patient

Family Member

Visitor

Today's Date/Time

Admission Date

Full Name

P. O. Box

Email Address

Home Tel. No.

Mobile No.

Medical Record # (if applicable)

Excellent Good Fair Poor

Doctor Care

Nurse Care

Staff Helpfulness

Privacy

Quality of Food

Cleanliness of Facility

Quality of Facility/Area

Quality of Communication

Would you recommend HMC? Yes No

If "No" why?

Would you like us to contact you? Yes No​