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Patient Feedback Survey

This survey consists questions that allows medical doctors to gather feedback from patients regarding their overall experience with the clinic.
Question 1*
Name of Clinic/Doctor
Question 2*
What is your gender?
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Question 3*
Overall satisfaction
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Doctor Knowledge
Doctor Kindness
Nurse Patience
Nurse Knowledge
Waiting Time
Hygiene
Question 4*
How can we improve our service?
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