{"id":19444,"date":"2021-01-30T08:32:52","date_gmt":"2021-01-30T09:32:52","guid":{"rendered":"https:\/\/new.beskihospital.com\/%d8%b1%d8%b6%d8%a7%db%8c%d8%aa-%d8%b3%d9%86%d8%ac%db%8c-%d8%a8%db%8c%d9%85%d8%a7%d8%b1\/"},"modified":"2026-09-12T14:42:35","modified_gmt":"2026-09-12T11:12:35","slug":"patient-satisfaction","status":"publish","type":"page","link":"https:\/\/beskihospital.com\/en\/patient-satisfaction\/","title":{"rendered":"Patient Satisfaction"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"19444\" class=\"elementor elementor-19444 elementor-8428\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-00c8e41 e-flex e-con-boxed e-con e-parent\" data-id=\"00c8e41\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16ad577 before-title-line elementor-widget elementor-widget-heading\" data-id=\"16ad577\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Patient satisfaction form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c030255 elementor-widget elementor-widget-text-editor\" data-id=\"c030255\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Please fill out the satisfaction form and share your opinion about the quality of service, handling and the experience of being in the hospital so that we can provide better services.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1b1925f4 e-flex e-con-boxed e-con e-parent\" data-id=\"1b1925f4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-49f53499 elementor-widget elementor-widget-shortcode\" data-id=\"49f53499\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_22' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_custom\">(Required)<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_22'  action='\/en\/wp-json\/wp\/v2\/pages\/19444' data-formid='22' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_22' class='gform_fields top_label form_sublabel_above description_above validation_above'><div id=\"field_22_16\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_22_16'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='gfield_description' id='gfield_description_22_16'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_16' id='input_22_16' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_22_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_22_1'><span class='gform-field-label__text'>Full Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_22_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_22_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_22_3'><span class='gform-field-label__text'>Email Address<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_22_3' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_22_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Overall Satisfaction<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_4'>\n\t\t\t<div class='gchoice gchoice_22_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Very Satisfied'  id='choice_22_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_4_0' id='label_22_4_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Satisfied'  id='choice_22_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_4_1' id='label_22_4_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_4_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Neutral'  id='choice_22_4_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_4_2' id='label_22_4_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_4_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Dissatisfied'  id='choice_22_4_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_4_3' id='label_22_4_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_4_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Very Dissatisfied'  id='choice_22_4_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_4_4' id='label_22_4_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_22_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Quality of Care<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_6'>\n\t\t\t<div class='gchoice gchoice_22_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Very Satisfied'  id='choice_22_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_6_0' id='label_22_6_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Satisfied'  id='choice_22_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_6_1' id='label_22_6_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Neutral'  id='choice_22_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_6_2' id='label_22_6_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Dissatisfied'  id='choice_22_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_6_3' id='label_22_6_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_6_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Very Dissatisfied'  id='choice_22_6_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_6_4' id='label_22_6_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_22_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Staff Courtesy &amp; Communication<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_7'>\n\t\t\t<div class='gchoice gchoice_22_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Very Satisfied'  id='choice_22_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_7_0' id='label_22_7_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Satisfied'  id='choice_22_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_7_1' id='label_22_7_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Neutral'  id='choice_22_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_7_2' id='label_22_7_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Dissatisfied'  id='choice_22_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_7_3' id='label_22_7_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_7_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Very Dissatisfied'  id='choice_22_7_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_7_4' id='label_22_7_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_22_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Waiting Time<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_8'>\n\t\t\t<div class='gchoice gchoice_22_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Very Satisfied'  id='choice_22_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_8_0' id='label_22_8_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Satisfied'  id='choice_22_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_8_1' id='label_22_8_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Neutral'  id='choice_22_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_8_2' id='label_22_8_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Dissatisfied'  id='choice_22_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_8_3' id='label_22_8_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Very Dissatisfied'  id='choice_22_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_8_4' id='label_22_8_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_22_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Cleanliness &amp; Facilities<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_9'>\n\t\t\t<div class='gchoice gchoice_22_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Very Satisfied'  id='choice_22_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_9_0' id='label_22_9_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Satisfied'  id='choice_22_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_9_1' id='label_22_9_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Neutral'  id='choice_22_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_9_2' id='label_22_9_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Dissatisfied'  id='choice_22_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_9_3' id='label_22_9_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_9_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Very Dissatisfied'  id='choice_22_9_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_9_4' id='label_22_9_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_22_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Information &amp; Guidance<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_10'>\n\t\t\t<div class='gchoice gchoice_22_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Very Satisfied'  id='choice_22_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_10_0' id='label_22_10_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Satisfied'  id='choice_22_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_10_1' id='label_22_10_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Neutral'  id='choice_22_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_10_2' id='label_22_10_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Dissatisfied'  id='choice_22_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_10_3' id='label_22_10_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Very Dissatisfied'  id='choice_22_10_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_10_4' id='label_22_10_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_22_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_22_12'><span class='gform-field-label__text'>What did you like most about your experience?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_22_12' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_22_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_22_13'><span class='gform-field-label__text'>What could we improve?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_22_13' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_22_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you recommend Dr. Beski Hospital to others?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_14'>\n\t\t\t<div class='gchoice gchoice_22_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Definitely Yes'  id='choice_22_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_14_0' id='label_22_14_0' class='gform-field-label gform-field-label--type-inline'>Definitely Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_22_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Probably Yes'  id='choice_22_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_22_14_1' id='label_22_14_1' class='gform-field-label gform-field-label--type-inline'>Probably 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<\/div><\/div>\n\t\t\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>Patient satisfaction form Please fill out the satisfaction form and share your opinion about the quality of service, handling and the experience of being in the hospital so that we can provide better 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