Pediatric Hospital
All facilities
ខ្មែរ English

Your child’s visit — quick feedback

Please tell us about today’s experience. This is not for emergencies or medical complaints.

About 2 minutes. Answers help us improve care for families.

Questions marked * are required.

Who is filling this form? *

What service did you receive today? *

Overall, how was today’s visit? *

1 — Very poor5 — Excellent

How would you rate reception / registration / payment today? *

1 — Very poor5 — Excellent

Was the waiting time acceptable? *

Were staff polite and respectful? *

1 — Very poor5 — Excellent

How clean and comfortable was the facility? *

1 — Very poor5 — Excellent

Did the doctor explain your child’s condition and next steps clearly? *

How well did the team care for your child’s comfort (pain, fear, calmness)? *

1 — Very poor5 — Excellent

Did nurses / clinical staff treat your child with care and patience? *

1 — Very poor5 — Excellent

How likely are you to recommend us to others? *

0 — Not at all likely10 — Extremely likely

What is one thing we could improve? (Optional)

What did we do well today? (Optional)

May we contact you about this feedback?

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