11.23
STATIONERY
FORMS
PATIENT FEEDBACK FORM
40
People often find forms difficult to fill in. We have
made our forms as friendly as possible to improve
the experience of the user.
HOSPITAL NAME
SIZE
148 x 210mm.
Examples shown at 25% of actual size. Dimensions
are in millimetres. Magenta numbering relates to
the specification text below.
LOGO
Logo colour version 1 (see pages 3.7 and 3.8).
Size at 40mm.
1
COVER TITLE
Gotham Bold 32/34pt (increased leading is used
here to help make dual-language more legible),
upper case, ranged left. Colour in the Mediclinic
Greys. Use one Mediclinic Grey per line.
2
COLOUR
5
Cover image
This is an example. Other images
that follow the imagery guidelines
(section 6) and support the
communication can be used.
EXPERTISE YOU CAN TRUST.
CONSULTATION AND INFORMATION:
MEDICLINIC HEALTHLINE T 0000 000 000
PATIENT FEEDBACK 1
PASIËNT TERUGVOER
HOSPITAL NAME
ADDRESS LINE ONE
ADDRESS LINE TWO
ADDRESS LINE THREE
ADDRESS LINE FOUR
T +00 00 000 00 00
F +00 00 000 00 00
[email protected]
www.mediclinic.co.ch/clinicname
Front and back cover
QUICK FEEDBACK/VINNIGE TERUGVOER
2
NAME/NAAM:
GOT MORE TO SAY?/HET MEER TE SÊ?
PLEASE DESCRIBE YOUR COMPLAINT OR CONCERN
BESKRYF ASSEBLIEF JOU KLAGTE OF SAAK…
WARD/SAAL:
DATE/DATUM: DD/MM/YY
IS YOUR ROOM COMFORTABLE AND CLEAN?
IS U KAMER GERIEFLIK EN SKOON?
YES
Form inside is two-colour in Mediclinic Blue and
black. Highlight text in Mediclinic Blue. Other text
in 85% black.
5
NO
IS THE EQUIPMENT AT YOUR DISPOSAL IN GOOD WORKING ORDER?
IS DIE TOERUSTING TOT U BESKIKKING IN WERKENDE TOESTAND?
YES
NO
DO YOU CONSIDER THE NURSING CARE PROFESSIONAL AND COMPETENT?
BESKOU U DIE VERPLEEGSORG AS PROFESSIONEEL EN DOELTREFFEND?
YES
NO
HAVE YOU FOUND THE CATERING SERVICE TO BE OF A GOOD STANDARD?
WE HOLD THE SATISFACTION OF OUR PATIENTS CLOSE TO OUR HEARTS. WE ASK FOR
YOUR IDEAS AND CRITICISMS IN ORDER TO HELP US IMPROVE TE QUALITY OF SERVICE.
ONS HOU DIE BEVREDIGING VAN ONS PASIËNTE NABY AAN ONS HARTE. ONS VRA TEN
EINDE TE HELP VIR JOU IDEES EN KRITIEK US VERBETER DIE GEHALTE VAN DIENS.
3
HOE ERVAAR U DIE SPYSENIERINGSDIENS?
YES
NO
PLEASE LET US KNOW ABOUT ANY OPPORTUNITIES FOR DEVELOPMENT
ASSEBLIEF KOM ONS WEET VAN ENIGE GELEENTHEDE VIR ONTWIKKELING…
WERE YOU PROVIDED WITH SUFFICIENT FINANCIAL INFORMATION REGARDING
THE SETTLEMENT OF YOUR HOSPITAL BILL?
HET U VOLDOENDE FINANSIËLE INLIGTING OOR DIE BETALING VAN U
HOSPITAALREKENING ONTVANG?
3
THE SCIENCE OF CARE PROOF POINT
Gotham Book 7/9pt, upper case. Colour in
Mediclinic Blue. Add +20 character spacing.
Please note, each unit of the +20 character
spacing is equal to 20/1000 of an em.
MEDICLINIC BRAND GUIDELINES | APPLICATIONS | STATIONERY
YES
NO
HAVE ALL YOUR EXPECTATIONS BEEN MET?
IS DAAR AAN AL U VERWAGTINGE VOLDOEN?
YES
NO
Inside layout
CONTENTS