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Mobile No

Email

Address

Reg. Number

Testing Of Date

Reception staff-helpful & Polite
High 5432Low 1N/A

Attending Staff-helpful & Polite
High 5432Low 1N/A

Personal care
High 5432Low 1N/A

Investigation was comfortable
High 5432Low 1N/A

Wating Time
< 10 min 510-1515-2525-30> 30 min

Report delivered in time
High 5432Low 1N/A

In Past, is your doctor satisfied with our report?
High 5432Low 1N/A

Would you recommend us to others
High 5432Low 1N/A

What is your satisfaction level
High 5432Low 1N/A

Your Suggestion for improving our services quality.

Unpleasant experience, If any

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