Hospital WiFi Check Form

Hospital Name

Name of the WiFi network you connected to

Did you have to enter a password when you selected the WiFi network? Did you have to enter a password when you selected the WiFi network? Yes No

Were you able to navigate to this page without first having to enter any additional information or agreeing to terms of use? (excluding the password for the WiFi network if needed) Were you able to navigate to this page without first having to enter any additional information or agreeing to terms of use? (excluding the password for the WiFi network if needed) Yes No N/a

Any other information that you think may help us

Name

Email Address