MTRH CLIENT FEEDBACK FORM
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Name *
Email
Tel/Mobile No: *
Date *
MM
/
DD
/
YYYY
Section *
Compliment(s):
Complaint(s)/Dissatisfaction
Kindly state area(s) of Improvement(s)/Suggestion(s)
Thank you for choosing MTRH as your preferred health care  service provider. In order to continuously improve on our services and provide quality patient care, we invite your comments if any. We have provided a space to enter your name and cell phone number for possible follow ups, but this entry is optional. On behalf of Management we would like to thank you for your comments and suggestions


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