Form templates

Patient satisfaction

A clinic: waiting time, doctor and front desk.

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Opens in your ZetForm cabinet. No account yet? You can create one for free.

  1. How long did you wait? *

    One choice · Under 15 minutes, 15–30 minutes, Over 30 minutes

  2. Doctor *

    Rating

  3. Front desk *

    Rating

  4. Was your treatment explained clearly? *

    Yes / no

  5. Comments

    Long text

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