Feedback Feedback ☆ ☆ ☆ ☆ ☆ Name * First Name Last Name Date of appointment * MM DD YYYY Name of the doctor or clinical physiologist * Please choose from the dropdown below Dr Saqib Ghani Dr Dushaynt Maradia Dr Khalid Mujahid Referred Doctor - please state name of Doctor in review below Survey I found the staff professional and helpful Strongly Disagree Disagree Neutral Agree Strongly Agree I found my consultant took their time and cared about my needs Strongly Disagree Disagree Neutral Agree Strongly Agree I would recommend the clinic to a colleague, family or friend Strongly Disagree Disagree Neutral Agree Strongly Agree Please leave a review on your experience Can this feedback be used for marketing purposes? * Yes, alongside my name Yes, without my name No Thank you for your feedback!
