{"id":4644,"date":"2025-03-23T17:10:58","date_gmt":"2025-03-23T17:10:58","guid":{"rendered":"https:\/\/hotelsbooking.ae\/?page_id=4644"},"modified":"2025-03-23T18:21:24","modified_gmt":"2025-03-23T18:21:24","slug":"patient-feedback","status":"publish","type":"page","link":"https:\/\/adriameduae.com\/abu-dhabi\/patient-feedback\/","title":{"rendered":"Patient Feedback"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4644\" class=\"elementor elementor-4644\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bdebd8a e-flex e-con-boxed e-con e-parent\" data-id=\"bdebd8a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\r\n\t\t<div class=\"elementor-element elementor-element-9da9de4 elementor-widget elementor-widget-mediaxsectiontitle\" data-id=\"9da9de4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mediaxsectiontitle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"title-area text-center \">\n\t\t\t\t<span class=\"sub-title \"><img decoding=\"async\" src=\"https:\/\/adriameduae.com\/abu-dhabi\/wp-content\/plugins\/mediax-core\/assets\/img\/title_icon.svg\" alt=\"Shape\">Subtitle<\/span><h2 class=\"sec-title \">Patient Feedback Form<\/h2><p>Thank you for choosing our clinic for your medical needs. Please provide feedback on your visit so we can continue improving our services. We appreciate your time! <\/p>\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-434e0cc elementor-widget elementor-widget-mediaxcontactform\" data-id=\"434e0cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mediaxcontactform.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"faq-form\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4643-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"4643\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/abu-dhabi\/wp-json\/wp\/v2\/pages\/4644#wpcf7-f4643-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4643\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4643-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_uacf7_hidden_conditional_fields\" value=\"\" \/>\n<\/fieldset>\n<div class=\"uacf7-form-4643  \"><div class=\"row\">\n  <div class=\"form-group col-12 col-md-6 col-xl-4\">\n    <label class=\"form-label\">Name<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"text-657\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-657\" \/><\/span>\n  <\/div>\n  <div class=\"form-group col-12 col-md-6 col-xl-4\">\n     <label class=\"form-label\">Phone number<\/label>\n     <span class=\"wpcf7-form-control-wrap\" data-name=\"number-159\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-159\" \/><\/span>\n  <\/div>\n  <div class=\"form-group col-12 col-md-6 col-xl-4\">\n     <label class=\"form-label\">Gender<\/label>\n     <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-721\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select nice-select\" id=\"subject\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-721\"><option value=\"Please Select\">Please Select<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n  <\/div>\n  <div class=\"form-group col-12 col-md-6 col-xl-4\">\n     <label class=\"form-label\">Date of birth<\/label>\n     <span class=\"wpcf7-form-control-wrap\" data-name=\"Date-of-birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-select nice-select\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Date-of-birth\" \/><\/span>\n  <\/div>\n  <div class=\"form-group col-12 col-md-6\">\n     <label class=\"form-label\">How likely are you to recommend us to your friends or family? <\/label>\n     <span class=\"wpcf7-form-control-wrap\" data-name=\"select-11\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control nice-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-11\"><option value=\"Never\">Never<\/option><option value=\"Not very likely\">Not very likely<\/option><option value=\"Somewhat Likely\">Somewhat Likely<\/option><option value=\"Likely\">Likely<\/option><option value=\"Very Likely\">Very Likely<\/option><\/select><\/span>\n  <\/div>\n  <div class=\"form-group col-12\">\n      <h4 class=\"form-label\">Please rate your satisfaction with the hospital and provided services:<\/h4>\n      <div class=\"row\">\n        <div class=\"col-12 col-md-6 col-lg-6 mb-3\">\n            <label class=\"form-label\">The overall quality you received<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"select-125\"><select class=\"wpcf7-form-control wpcf7-select form-control nice-select\" aria-invalid=\"false\" name=\"select-125\"><option value=\"Please Select\">Please Select<\/option><option value=\"Very dissatisfied\">Very dissatisfied<\/option><option value=\"Dissatisfied\">Dissatisfied<\/option><option value=\"Neutral\">Neutral<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Very satisfied\">Very satisfied<\/option><\/select><\/span>\n        <\/div>\n        <div class=\"col-12 col-md-6 col-lg-6 mb-3\">\n            <label class=\"form-label\">Communication & clarity of information provided<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"select-126\"><select class=\"wpcf7-form-control wpcf7-select form-control nice-select\" aria-invalid=\"false\" name=\"select-126\"><option value=\"Please Select\">Please Select<\/option><option value=\"Very dissatisfied\">Very dissatisfied<\/option><option value=\"Dissatisfied\">Dissatisfied<\/option><option value=\"Neutral\">Neutral<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Very satisfied\">Very satisfied<\/option><\/select><\/span>\n        <\/div>\n        <div class=\"col-12 col-md-6 col-lg-6 mb-3\">\n            <label class=\"form-label\">Cleanliness & maintenance of hospital facilities <\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"select-127\"><select class=\"wpcf7-form-control wpcf7-select form-control nice-select\" aria-invalid=\"false\" name=\"select-127\"><option value=\"Please Select\">Please Select<\/option><option value=\"Very dissatisfied\">Very dissatisfied<\/option><option value=\"Dissatisfied\">Dissatisfied<\/option><option value=\"Neutral\">Neutral<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Very satisfied\">Very satisfied<\/option><\/select><\/span>\n        <\/div>\n        <div class=\"col-12 col-md-6 col-lg-6 mb-3\">\n            <label class=\"form-label\">Information provided for diagnosis and treatment <\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"select-128\"><select class=\"wpcf7-form-control wpcf7-select form-control nice-select\" aria-invalid=\"false\" name=\"select-128\"><option value=\"Please Select\">Please Select<\/option><option value=\"Very dissatisfied\">Very dissatisfied<\/option><option value=\"Dissatisfied\">Dissatisfied<\/option><option value=\"Neutral\">Neutral<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Very satisfied\">Very satisfied<\/option><\/select><\/span>\n        <\/div>\n        <div class=\"col-12 col-md-6 col-lg-6 mb-3\">\n            <label class=\"form-label\">Efficiency of admission & discharge process <\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"select-129\"><select class=\"wpcf7-form-control wpcf7-select form-control nice-select\" aria-invalid=\"false\" name=\"select-129\"><option value=\"Please Select\">Please Select<\/option><option value=\"Very dissatisfied\">Very dissatisfied<\/option><option value=\"Dissatisfied\">Dissatisfied<\/option><option value=\"Neutral\">Neutral<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Very satisfied\">Very satisfied<\/option><\/select><\/span>\n        <\/div>\n      <\/div>\n  <\/div>\n  <div class=\"form-group col-12\">\n      <label class=\"form-label\">Tell us how we can improve:<\/label>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-839\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" id=\"message\" aria-required=\"true\" aria-invalid=\"false\" name=\"textarea-839\"><\/textarea><\/span>\n  <\/div>\n  <div class=\"form-btn col-12 col-md-3\">\n     <button class=\"th-btn btn-fw\">Submit<\/button>\n  <\/div>\n<\/div><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Subtitle Patient Feedback Form Thank you for choosing our clinic for your medical needs. Please provide feedback on your visit so we can continue improving our services. We appreciate your time! Name Phone number Gender Please SelectMaleFemale Date of birth How likely are you to recommend us to your friends or family? NeverNot very likelySomewhat&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4644","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Contact UsKeep up to date with our latest news &amp; special offer.2478 Street City Ohio 90255info@mediax.com+(402) 763 282 46 Quick LinksAbout Us Our Team Appointments Insurance Help &amp; FAQs Career Patient Feedback Contact Us Privacy Policy Popular servicePhysiotherapy &amp; Rehabilitation Chiropractic Dentistry Prosthetic &amp; Orthotics Dermatology and Cosmetics Orthopedic Mental Health Latest Services Let\u2019s Stay\" \/>\n\t<meta name=\"robots\" content=\"noindex, max-image-preview:large\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/adriameduae.com\/abu-dhabi\/?mediax_footerbuild=footer-one\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO Pro (AIOSEO) 4.9.10\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Adria medical center - 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