Community Medicine Client Feedback

Thank you for providing us with feedback about our team, services, and clinics.

Question Title

* 1. On a scale of 1 to 5, 1 being poor and 5 being excellent.... How would you rate your recent experience?

Very Poor

Poor

Average

Good

Excellent

Very Poor

Poor

Average

Good

Excellent

Question Title

* 2. Please share your feedback

Question Title

* 3. What category is your feedback related to?

Customer Service

Facility

Clinic Parking Lot

Mobile Clinic Driving

Website

Online Waitlist System

Appointment

Accessibility

Phone Call

Electronic Medical Records System

Other (please specify)