Inpatient Feedback Form

Dear Patient,

We want you to feel that you are in the very best hands at Hirslanden – both in terms of medical care and in all other aspects of your stay. It is very important to us to learn how you evaluate your hospital stay.

We therefore welcome your personal feedback and greatly appreciate your suggestions, praise, and, of course, constructive criticism.

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First Name This field is required.

Last Name This field is required.

Date of Birth This field is required.

Zip Code

Town

Date of Admission This field is required.

E-Mail This field is required.

What did you like about your stay at the clinic?

What can we improve or change?

Your needs are at the center of everything we do. To help us tailor our services as effectively as possible, we kindly ask you to answer the following questions.

What was the decisive factor that led you to choose our clinic?

Name of the Clinic This field is required.

Other Reasons This field is required.

Did you inform yourself in detail about your health condition or treatment prior to your stay?

Multiple selections possible ✅

Yes, on the Hirslanden Webseite

Yes, via Print Media

Yes, at a Hirslanden Public lecture

yes, talking with friends & family

Yes, on review or health portal(s):

Yes, on social media plattforms

Yes, other sources

You have the opportunity to register various requests or to provide us with information. We will use your personal data that you have entered only for the purposes mentioned by you or listed during registration. Your data will then be deleted as soon as possible unless we are legally obligated to store it. You will always have the right to information, rectification, restriction, data portability, objection, erasure and in certain cases the right to lodge a complaint with a competent supervisory authority. You may revoke your consent at any time via the following e-mail address datenschutz@hirslanden.ch.

I accept this data processing, and I have read the Terms of Use and the Privacy Policy of the Website and consent to them.

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Please don't fill out this field if you are a human being*

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AndreasKlinik

AndreasKlinik

Inpatient Feedback Form Hirslanden AndreasKlinik Cham Zug

Your needs are at the center of everything we do. To help us tailor our services as effectively as possible, we kindly ask you to answer the following questions.