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feedback test
Name*
MR No*
Mobile*
Email*
How did you come to know about MIOT International Total Eyecare?
Newspaper
Radio
TV
Online Advertisements ( Facebook, Google, Whatsapp )
Word of Mouth
Posters & leaflets
Emailers
Others
Please rate your experience in the following areas.
Excellent
Very Good
Good
Fair
Poor
Promptness of front desk:
5 stars
4 stars
3 stars
2 stars
1 star
Experience with the doctor:
5 stars
4 stars
3 stars
2 stars
1 star
Nursing Care:
5 stars
4 stars
3 stars
2 stars
1 star
Responsiveness of Clinic staff:
5 stars
4 stars
3 stars
2 stars
1 star
Diagnostic services:
5 stars
4 stars
3 stars
2 stars
1 star
Privacy maintained during medical examinations:
5 stars
4 stars
3 stars
2 stars
1 star
Billing Process:
5 stars
4 stars
3 stars
2 stars
1 star
Explanation on Procedure advised:
5 stars
4 stars
3 stars
2 stars
1 star
Hospital Cleanliness:
5 stars
4 stars
3 stars
2 stars
1 star
Overall experience:
5 stars
4 stars
3 stars
2 stars
1 star
Comments / suggestions*
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