dashboard1 CLIENT SURVEY FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date *1. How often do you receive our services at the Institute.? *First timeMore than once2 a). How well have you Satisfied with our services? *GoodSatisfactoryPoorb). If your response is poor or satisfactory, mention the service point and the reason *c) If your response is good or very good Kindly mention the service point and reason *3 a). Can you rate the overall cleanliness of our Institute environment ? *CleanDirtyb). If your response is dirty, kindly mention the areas4 a). Can you rate our overall customer care services? *GoodPoor down service b). If your response is poor, Please tell the awful language that tripped you up and mention the service point5 a). Have you ever asked for a bribe at any service point ? *YesNob). If YES, at which service point?6. How long did you wait before being attended by a relevant Healthcare Professionals? *0 to 30 Minutes30 to 60 MinutesMore than 1 hour7. Please tell us any other challenges you face while receiving services8. Kindy write down recommendations/advice that can help Ocean road Cancer Institute to improve our servicesSUBMIT BACK
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