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POGU Referrers Feedback Form

Name*:

Clinic Name:

Address:
Email*:

Contact Phone*:

How do you rate the accessibility of our service to your patients?
How helpful are the POGU staff when you are trying to book a scan or obtain a report?
Have you had any difficulty to get in touch with Dr Thottungal if you wanted to discuss any cases/any queries?
How do you rate the communication of reports of your patients?
a) Routine cases:
b) Urgent cases:
c) Abnormal cases:
How do you rate the communication of reports of your patients?
a) Obstetric patients
b) Gynae patients
Any feedback you may have had from your patients about our service:
What were you most happy with our service?
Any suggestions you may have to improve our service?
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