IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00 IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00 Share your Feedback Dear Valued Customer, Thank you for choosing and trusting FV Hospital. We truly appreciate all feedback you share with us, from compliments to suggestions for improvement.All comments will be received and reviewed by our Patient Experience Department, and we will respond as soon as possible. You may contact us through the following channels: Phone: (028) 35 11 33 33 (ext. 7700) Email: patientexperience@fvhospital.com Verbal Complaint Feedback Form Once again, we sincerely thank you for taking the time to share your thoughts and for accompanying us on our journey to continuously improve the quality of care. Sincerely, Patient Experience Department Date of Visited: Department or Area Visited: Type of Comment: PraiseSuggestionComplaint Tell us your story Thank you! Positive feedback helps our team know they are making a difference. We will make sure this reaches them. Please fill in the information below Full Name: Hospital Number: Phone Number: Email: Nationality: --- Please Select ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao, People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe Primary language: --- Please Select ---EnglishFrenchVietnameseChineseJapaneseKhmerKoreanRussianOther You are PatientOthers Relationship with Patient Name of Patient Notes: The hospital requires the patient's consent for any third party to submit feedback on the patient's behalf in order to proceed with the investigation of the complaint. Thank You Message Thank you for sending your feedback to FV Hospital! We sincerely appreciate the time you took to share your comments with us. Whether it is a suggestion, a compliment, or a concern, your feedback plays an important role in helping us review, improve, and enhance the quality of our medical services and patient experience. Our Patient Experience team will process the information you provided (if you requested a follow-up). Once again, thank you for your trust and for accompanying FV Hospital. (Your feedback will be acknowledged within 2 working days, and a detailed response will be provided within 10 working days.) Close Δ
