Customer Feedback Form
We value your feedback and request you to spare your valuable few minutes to fill in this form and request to hand it over to our Front Office Staff
Area/Activity
Excellent
Good
Average
Your Experience with Front Office
Your Experience with sample collection unit
Your Experience in report issue
Courteousness of staff at Front Office
How good were our staff in knpwing and Fulfilling your Requirements
Cleanliness of waiting lounge and toilets
Your experience with our ECG/X-RAY/Ultrasound/Echo/Treadmill/Physician Checkup
Your overall experience in our Laboratory
Lab No:
Your answer
Name:
Your answer
Contact Number:
Your answer
E Mail:
Your answer
Branch *
Suggestion(if any)
Your answer
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