Complaint / Feedback DATE*Year*Name*Enter Your E-mail Address*Contact Person*Phone No.*Designation1. Communication with the patient*ExcellentGoodSatisfactoryAveragePoor2. Facilities provided to the patient*ExcellentGoodSatisfactoryAveragePoor3. Response to doubts regarding examination*ExcellentGoodSatisfactoryAveragePoor4. Handling of sample*ExcellentGoodSatisfactoryAveragePoor5. Quality of examination report (necessary information provided)*ExcellentGoodSatisfactoryAveragePoor6. Technical knowledge of staff*ExcellentGoodSatisfactoryAveragePoor7. Delivery time (work completion)*ExcellentGoodSatisfactoryAveragePoor8. Presentation of examination report*ExcellentGoodSatisfactoryAveragePoor9. Complaint handling*ExcellentGoodSatisfactoryAveragePoor