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Screening Clinic Feedback Form
Thank you for taking the time to leave us feedback on either the Sandringham Screening Clinic or the Dendy Street Drive Through Clinic.
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Name
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First
Last
Phone Number
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Email
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Please tell us which site you attended
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- Please select -
Sandringham Hospital Screening Clinic
Dendy Street Drive Through Clinic
When did you attend the clinic?
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Please let us know the date and approximate time of your visit to our clinic.
How was your experience at our Screening Clinic?
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Do you require us to follow this up with you?
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Yes
No
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