Gosford Private Hospital

Tell us about your experience at Gosford Private Hospital

Your impressions are important to us and we would love to know what you think about your stay.

If this is an emergency or you are in discomfort, please press your call button.

If you have a complaint or concern, we would encourage you to discuss this face to face with your Nurse or the Unit Manager.

Thank you for giving us your feedback, it is important to us.

Note: this feedback is anonymous unless you would like to identify yourself.

1.	Please rate your in-hospital experience so far.

Very unsatisfied	1	2	3	4	5	6	7	8	9	10	Very satisfied
Staff
Service
Room
Food
Overall experience

2.	Is there anything we could do to improve?

Please type your answer in the box below.

3.	Is there a staff member you would like to recognise for exceptional care or service?

Please type your answer in the box below.

4.	Is there anything you'd like to discuss with the manager?

Please select one option below.

	Yes
	No