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Questionnaire – Client Feedback
Peter Trampedach
2020-08-18T15:42:24+01:00
Client Feedback after Health Check
Answering this client feedback is voluntary and anonymous. If you wish to be contacted, please provide a phone number in the comments section.
Client feedback
Company
*
Company
Location
*
Example: Horsens
Date
*
(Please correct to the right date if it was not today)
What examination(s) did you have?
*
Health Check
Health Check - night work
Hearing Test
Polar BodyAge test
Vaccination / Lead blood test
Vision Test
On a scale of 1 to 5 (1 is worst, 5 is best):
Did the survey live up to your expectations?
1
2
3
4
5
Did we understand your needs and your situation?
1
2
3
4
5
Was our advice clear and understandable?
1
2
3
4
5
Would you like to recommend us to your colleagues in the future?
1
2
3
4
5
Complaints / Suggestions for improvements:
Please leave your telephone number or email if we may contact you for further information.
Thanks for the help. We hope to see you again!
Send
If you are human, leave this field blank.
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