ECA Minor Injuries Patient Questionnaire

Unique ID

Date of attendance(Required)

Time of attendance(Required)

How satisfied are you with your overall experience in the department today?(Required)

How satisfied were you with the length of time you had to wait to see a clinician?(Required)

How would you rate the quality of the service you received today?(Required)

Please mention below if there are any other positive or negative aspects to the care you have received today?

This field is for validation purposes and should be left unchanged.

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