Feedback – Hospitalization form | Hirslanden Clinique des Grangettes

Dear patient,
Dear patient,

When you are admitted to Hirslanden, we want you to receive the best medical care, but not only. It is very important for us to know what you thought of your stay in our clinic. We look forward to hearing your opinion.

Forename

Name

Date of birth

NPA

Locality

Date of admission

Room number

What did you enjoy during your stay?

What should we definitely improve and/or change?

Your needs are at the heart of our concerns. To enable us to best orient our services, we kindly ask you to answer the following questions.

What decisive factor led you to choose our clinic?

Name of the Hirslanden Clinic

Other reason

Have you previously thoroughly researched the health topic that concerns you/your treatment?

Several possible answers

Yes, on the Hirslanden website

Yes, in print media

Yes, at a public lecture given by Hirslanden

Yes, during a chat with friends/family

Yes, on one or more assessment or health portals:

Yes, on social networks:

Yes, as follows

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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