Patient Evaluation Form
We’d love to hear about your customer experience. Feel free to share suggestions, ideas, or anything that comes to mind.
First Name
Last Name
Email
Facility Clinic
Very good
Good
Poor
1. Malinis (Nadalus)
Very good
Good
Poor
2.Maluwang (Nalawa)
Very good
Good
Poor
3.komportable
Very good
Good
Poor
4.Madaling Mahanap ang mga kagamitan (Nalaka nga mabirukan dagiti mausar)
Very good
Good
Poor
STAFF-MIDWIFE
Very good
Good
Poor
1.Mabait (Naanus)
Very good
Good
Poor
2.Masuporta habang naglalabor(Suportado nu madama ti labor)
Very good
Good
Poor
3.Magalang(narespeto/Nadayaw)
Very good
Good
Poor
4.Maayos at Malinis sa katawan(Nalinis da ti bagbagi da)
Very good
Good
Poor
5.Propersyonal na gumalaw (Propesyonal nga aggaraw)
Very good
Good
Poor
SERVICE-SERBISYO
Very good
Good
Poor
1. May pribado sa lahat ng oras(Ada pribado nga kanayon)
Very good
Good
Poor
2.Kompleto ang gamit sa panganganak(kompleto ti mausar ti panganak)
Very good
Good
Poor
3.Naipapaliwang ang pamamaraan bago gawin(Maipakaawat nu anya ti maaramid sakbay nga aramiden)
Very good
Good
Poor
4.Palaging magalang sa Pasyente(Kanayon nga narespesto sa pasyente )
Very good
Good
Poor
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