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Customer Satisfaction Survey
Your satisfaction is paramount to us, and we’d like to hear about your experience. Please take a moment to share your feedback through our brief survey:
What service area/s are you rating?
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Appointment Scheduling
Front Desk / Lobby
Drug Test Laboratory
Radiology & Imaging
Doctor's Clinic
Clinical Laboratory
Restroom
APE/ACU
Sales
Marketing
Others
Home Service
Specific Person/Department (optional)
How would you rate your experience?
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Rows
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Promptness and Efficiency of Service
Courtesy and Helpfulness of Staff
Knowledge and Expertise of Staff
Communication is Clear and Concise
Cleanliness, Comfortability and Safety
Confidentiality is Observed
Overall Quality of Experience
Would you recommend our services to others?
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Yes
No
Maybe
Rate your Overall Experience.
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1
2
3
4
5
Five star is the highest, One star is the lowest
Got a moment? We'd love to hear how your experience went.
Client Name (optional)
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