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Patient Feedback Form

Patient Feedback Form

If you would like to let us know any comments about the care you received at Benenden Hospital, please complete the feedback form. We value your opinions and comments and will use them to help the process of continually improving our service.

Personal information

*Denotes required information

Please enter your first name
Please enter your surname
Please enter your email address
Please enter a contact telephone number
Please enter your address details
Please select "Yes" or "No"

About your treatment or visit
Please select from the ratings below




Please enter the date of your treatment
Please enter your comments about your treatment or visit
Stay in touch

We would like to send you marketing information about our products and services and keep you up to date on what’s happening at Benenden Hospital. If you don’t want to give your consent for this, we will still be able to contact you about your current enquiry. We may contact you by email, SMS or phone about your enquiry. If we try to contact you by phone (mobile and/or landline) and you are not available, we may leave you a voicemail message. We may also use your details to contact you about patient surveys we use for improving our service or monitoring outcomes, which are not a form of marketing.

Please tick the box(es) to confirm your consent to receive marketing information from Benenden Hospital Trust:

We take your privacy seriously and will never sell or share your details with third parties so they can market to you. Information about how we protect and use your personal data is set out in our Privacy Policy

Call

01580 230661

Visit

Benenden Hospital

Goddard's Green Rood

Benenden

Cranbrook

Kent

TN17 4AX

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