City of London Health & Social Care Service Feedback

 

1. For which service are you providing feedback? (Please write the name of the service) *

 

2. Summarise your experiene of using the service

 

3. How long ago did you last use the service? *

 

4. How likely is it that you would recommend this service to a friend or colleague? *

 012345678910 
Not at all likely Extremely likely
 

5. How would you rate the service for the following:

BadPoorOkayGoodExcellent
Cleanliness
Staff Attitude
Waiting Time
Treatment explanation
Quality of care (if applicable)
Quality of food (if applicable)
 

6. Is there anything else you would like to say about the service?

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