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Customer Survey
Customer Survey
Please complete this survey to receive a 10% discount E-Voucher.
Survey | Medklinn Malaysia
  • 1
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
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  • 2
    As per identity card
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  • 3
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  • 4
    • Male
    • Female
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  • 5
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  • 6
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  • 7
    • a. Never thought about it but now that i think about it
    • b. Not concerned
    • c. A little concerned
    • d. Fairly concerned
    • e. Very concerned
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  • 8
    • i. Still not concerned
    • ii. A little concerned
    • iii. Fairly concerned
    • iv. Very concerned
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  • 9
    • a. Home
    • b. Office
    • c. Car
    • d. Others
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  • 10
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  • 11
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  • 12
    Can choose more than 1
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  • 13
    Can choose more than 1
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  • 14
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  • 15
    • a. Physical retail store
    • b. Online
    • c. Medklinn Showroom
    • d. Others
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  • 16
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  • 17
    Can choose more than 1
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  • 18
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  • 19
    Can choose more than 1 unit
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  • 20
    1 of 13
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  • 21
    1 of 8
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  • 22
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  • 23
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