MeCure Feedback Form

Thank you for you feedback

We appreciate your taking time out of your busy schedule to let us know what you think. Your feedback has been recorded successfully and will help us improve our services.

Name

Family Name

Phone Number

This feedback is a

Suggestion

Compliment

Complaint

All

How would you rate your welcome at MeCure?

Excellent

Very Good

Average

Poor

Very Poor

Were you promptly attended by the registration desk ?

Yes

Was the cashier at MeCure courteous & prompt ?

Yes

Were you explained your investigations by the clinical staff ?

Yes

Rate the MeCure team in terms of client handling

5 4 3 2 1

? / 5

Rate the ambience of MeCure centre

5 4 3 2 1

? / 5

How was the cleanliness around you at the MeCure facility?

Excellent

Very Good

Average

Poor

Very Poor

Any suggestion/recommendation you would want to offer

Any MeCure staff you want to report for unruly behaviour or encourage for good service

How would you rate the overall MeCure experience?

5 4 3 2 1

? / 5

Would you recommend MeCure Services to a friend or colleague ?

Yes

I agree for a call, if so needed, with a senior management executive on this feedback.

Yes

Signature

Clear