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OPD Feedback form - Rane Hospital
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Your Name
*
Your answer
Your Mobile Number
*
Your answer
Ease of king appointments by phone
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Above Average
Average
Below Average
Other .........................................
Waiting Time in Reception area
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Above Average
Average
Below Average
Other............................................
The courtesy of the person who took your call
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Above Average
Average
Below Average
Other................................................
The caring concern for our nurses / medical assistant
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Above Average
Average
Below Average
Other.............................................
The Helpfulness of the people who assisted you with billing or insurance
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Above Average
Average
Below Average
Other...........................................
Other Clinical Staff
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Above Average
Average
Below Average
Other...............................................
Your Phone call Answered Promptly
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Above Average
Average
Below Average
Other.............................................
Explanations of Your Procedure
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Above Average
Average
Below Average
Other...............................................
Our Ability to return your calls in a timely manner
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Above Average
Average
Below Average
Other ..............................................
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