My Healthcare Experience
(Score4Care)

Help us improve healthcare quality by sharing your experience

Patient Facility Scorecard

Your feedback helps improve healthcare services for everyone

i Facility Information

1 Access & Waiting Time

How long did you wait before being attended to?

2 Staff Attitude & Respect

Were you treated with courtesy and respect?

1 = Very Poor 5 = Excellent

3 Communication & Information

Did the provider explain your condition, treatment, or next steps clearly?

1 = Very Poor 5 = Excellent

4 Facility Environment

Rate the cleanliness and availability of basic amenities (toilets, water, seating)

1 = Very Poor 5 = Excellent

5 Availability of Medicines & Services

Were prescribed medicines/tests available and affordable?

1 = Very Poor 5 = Excellent

6 Quality of Care Received

Overall satisfaction with treatment

1 = Very Poor 5 = Excellent

7 Safety & Privacy

Did you feel safe and was your privacy respected during care?

1 = Very Poor 5 = Excellent

8 Overall Experience (Star Rating)

Rate your overall healthcare experience

1 = Very Poor → 5 = Excellent

9 Open Comments Section

Please share any suggestions, complaints, or positive experiences in your own words

This section is optional but very valuable for understanding your experience
Check this box to submit your scorecard without providing personal information
Contact Information (Optional)
Providing contact information allows us to follow up with you about your feedback and notify you of improvements.