Childbirth feedback form Salem-Spital

Dear new mum,

We want you to feel that you are always in good hands at Hirslanden – both in medical and non-medical matters. This is why it is very important for us to know what you think of your hospital stay. We look forward to receiving your personal feedback and are open to any suggestions, praise and, of course, criticism.

Your opinion matters to us – thank you for taking a few minutes to share your thoughts with us.

Your information

First name

Family name

Date of birth

Postal code

City

Admission date

General questions

What was the main reason for choosing our maternity hospital?

Name of the gynaecologist

Name and location of the information event

Name of the review portal

Name of the Hirslanden hospital

Other reason

Do you think you received sufficient information before admission?

Questions about your stay in the delivery ward

Were your individual needs considered during childbirth?

Did you find the hospital staff friendly and courteous?

Questions about your stay in the postnatal ward & discharge

Were your individual needs considered on the postnatal ward?

Do you think you and your baby were always in good hands when you were in our hospital?

How satisfied were you with the discharge consultation?

Do you/did you feel well prepared and informed for your first day at home?

How satisfied were you with the paediatric care?

Feedback to the paediatrician

Praise & criticism

Which aspects of your stay at the hospital did you like?

Delivery ward

Postnatal ward

What should we definitely improve and change?

Delivery ward

Postnatal ward

Would you like a response to your feedback?

e-mail

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.

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