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Indiana Hospital

Inpatient Discharge Feedback

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Step 1 of 4 - Patient Information 25%

hotel Patient & Admission Details

Please provide your stay information

star Service Rating

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recommend Net Promoter Score

How likely are you to recommend Indiana Hospital to friends and family?

0 = Not at all likely  •  10 = Extremely likely

emoji_events Staff Appreciation & Comments

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star Staff Appreciation (Optional)

Would you like to recognize any staff member who provided exceptional care?

info Review Summary