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Requester Info

Name

Organizaton/Affiliation

Designation

Email

Phone (opt)

PHC Information

PHC Name

Location

LGA

Type of PHC

Overall Experience

How would you rate your overall experience at this PHC ?

What did you like most about your experience?

What did you like least about your experience?

Staff

Were the staff friendly and helpful?

Did the staff seem knowledgeable and competent?

Did the staff explain things clearly and answer your questions?

Facilities

Were the facilities clean and well-maintained?

Were the facilities comfortable and accessible?

Were the waiting times reasonable?

Services

Were the services you received what you needed?

Were the services provided in a timely manner?

Were you satisfied with the quality of the services you received?

Additional Information

Please provide any additional details that may be relevant to your request.

Upload any images that might be relevant to the feedback

Thank you for your feedback! Your input will help us to improve our services.