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Surveys
2013
April
H
Health Care 1
Health Care 1
HDH
0%
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How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
How satisfied are you with the following:
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Medical Services
Hospital Services
Nursing Services
How satisfied are you with the following:
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Doctors
Nursing
Hospitality
Overall
How often do you visit the hospital?
2 time a year
3 time a year
4 time a year
5 time a year
More than 6
Please drag and rank(1
st
to 3
rd
) the following in order of interest:
Drag your choices here to rank them
Doctors
Nursing
Hospitality
Please rate the following:
Hospital
Services
Medical Care
Please Enter Phone number
How do you rate your room?
-- Select --
Comfortable
Uncomfortable
Relaxing
What is your date of birth?
--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
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21
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30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
2024
Survey No. 1
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