Hospital Feedback Demo

Select hospital → fill service info → submit → identity form → thank you → optional LINE verify

Service Review

Choose hospital, then rate your experience.

Hospital

Selected

Service Department

Time of Service

Rate your experience

Selected: /5

Comment (optional)

Your Information

Please fill in your details before we submit the review.

Review Summary

Hospital:

Department:

Time:

Rating:

Name

ID Number

Digits only (max 13).

Phone

Digits only (max 10).

Year of Birth

Thank you 🙏

Your feedback was submitted successfully.

Review ID:

Submission Details

Hospital:

Department:

Time:

Rating:

Optional: Verify via LINE

Verification helps prevent duplicate reviews and unlocks “Check Benefits”.

What happens if you verify?

One person can submit one review per period
You can check benefits conveniently in LINE
We do not post anything to your timeline

Check Benefits

Unlocked — you’re verified in LINE. Verify via LINE to unlock.

Benefit Status (demo)

LINE Permission

(Demo) Simulated LINE consent page.

Allow access?

This app will receive your LINE user ID

Purpose:

Prevent duplicate reviews
Unlock benefit features

In production: this is where LIFF login/consent happens.