GENERAL HOSPITAL IKORODU

PATIENT SATISFACTORY SURVEY

Self Checker Form

Doctor - Services

The doctors explained your medical condition and treatment in a way that you understood?

Very Unsatisfied

Unsatisfied

Satisfied

Very Satisfied

Doctor - Services

The doctors gave me the opportunity to ask questions?

Doctor - Services

The doctors were kind to me

Doctor - Services

I am satisfied with the care and services provided by the doctor

Are you experiencing any of these serious symptoms of COVID-19 below?

Difficulty breathing or shortness of breath

Chest pain or pressure

Loss of speech or movement

Pale, gray or blue-colored skin, lips or nail beds

Provide us with your personal information

Complete Name:

Complete Address:

Email:

Phone / Mobile Number:

Age:

Male Female Rather not say

That's about it! Stay healthy!

We will assess your information and will let you know soon if you need to get tested for COVID-19.

Click on the submit button to continue.

Success! We'll get back to you ASAP!

Meanwhile, clean your hands often, use soap and water, or an alcohol-based hand rub, maintain a safe distance from anyone who is coughing or sneezing and always wear a mask when physical distancing is not possible.

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