Feedback – outpatient form | Hirslanden Clinique La Colline

Dear patient,
Dear patient,

When you are admitted to Hirslanden, we want you to receive the best care, medically of course, but also at all levels. It is very important for us to know what you think of your stay in our clinic. We look forward to hearing your opinion. Your suggestions, your compliments, but also your criticisms are welcome.

Forename

Name

Date of birth

NPA

Locality

Date of admission

What decisive factor led you to choose our clinic?

Name of the Hirslanden Clinic

Other reason

Which centre did you visit?

Name of the centre

What did you think of your outpatient stay as a whole?

What did you enjoy during your outpatient stay?

What should we definitely improve and/or change?

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 and consent to them.

This field is required.

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

Spam protection (1 + 1 = ) Please add the two figures together (spam protection)