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This document is a customer feedback form for a chiropractic and foot clinic in Indonesia. It requests the customer's name, contact information, any comments or suggestions, and ratings for several aspects of the clinic like staff friendliness, treatment efficiency, and overall cleanliness. The purpose is to collect feedback from customers to evaluate and improve the clinic's services.
This document is a customer feedback form for a chiropractic and foot clinic in Indonesia. It requests the customer's name, contact information, any comments or suggestions, and ratings for several aspects of the clinic like staff friendliness, treatment efficiency, and overall cleanliness. The purpose is to collect feedback from customers to evaluate and improve the clinic's services.
This document is a customer feedback form for a chiropractic and foot clinic in Indonesia. It requests the customer's name, contact information, any comments or suggestions, and ratings for several aspects of the clinic like staff friendliness, treatment efficiency, and overall cleanliness. The purpose is to collect feedback from customers to evaluate and improve the clinic's services.
Nama : __________________________________ Name : __________________________________ Telepon : __________________________________ Phone : __________________________________ Email : __________________________________ Email : __________________________________ Saran : __________________________________ Comments : __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________
Berikan penilaian Anda : Buruk Sedang Baik Baik sekali
How would You rate us : Poor Average Good Excellent Keramahan Staff Staff Care, Friendliness Perawatan/Efisiensi Service/Efficiency Kebersihan Klinik Overall Cleaness