SGIR RIGS 🏥 Medical Clinic · 📍 D-Nzelu Well 49

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Visit & Care

Date of Visit

Reason for Visit

🤕 Injury 🤒 Illness 🩺 Routine Check 💊 Medication 🚨 Emergency 🧠 Mental Health 💬 Other

How quickly were you seen?

Immediate Quick Acceptable Slow Very Slow

Staff Professionalism

1 2 3 4 5 PoorExcellent

Was the treatment appropriate?

Yes Unsure No

Overall & You

Overall Experience Rating

1 2 3 4 5 Very PoorExcellent

Would you confidently use this clinic again?

Yes Maybe No

Should this require urgent management review?

Yes — Urgent No

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