Fwd: [Best 2614] UTP Clinic Performance Survey Form

[Muhammad Zakirin Zaharuddin]

---------- Forwarded message ----------
From: <toka...@gmail.com>
Date: Mon, Aug 1, 2011 at 6:44 AM
Subject: [Best 2614] UTP Clinic Performance Survey Form
To: srcutp...@googlegroups.com

If you have trouble viewing or submitting this form, you can fill it out online:
https://spreadsheets.google.com/spreadsheet/viewform?formkey=dGF0SklSRzZTUGhwclpabDhKeGFRa3c6MQ

UTP Clinic Performance Survey Form

We are from Welfare Department of SRCUTP are doing survey on the performance of our campus's clinic. Do help us by filling up this form so that we could review the area of improvements of our clinic.

Are the treatment given by the doctor and staff satisfactory?

• Yes
• No

Do the doctor and staff treated you nicely?

• Yes
• No

Have you ever experience the doctor denies to treat you when he/she is not in the working hour?

• Yes
• No

Is the waiting period for you to get the treatment from the doctor is satisfactory? (No need to wait too long)

• Yes
• No

In term of services, medications, and clinic facilities given, are there satisfactory?

• Yes
• No

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Muhammad Zakirin bin Zaharuddin 
Mechanical Engineering, 
Exco 1 Welfare, SRCUTP 10/11
Universiti Teknologi PETRONAS, 
Bandar Sri Iskandar, 
31750 Tronoh, Perak. 
(013) 4515733