Patient Feedback Form Example


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DEWA  v.1.5.0.0



DEWA Application is providing the following functionalities:

- DEWA News
- DEWA Events
- Customer Care Center
- Office Locations
- Customer Care Center Office Address
- Office Working Hours
- Browse DEWA Website
- Customer Care Center Email
- Add Office Information into your contact list
- Call Customer Care Center Offices
- Log Complaint
- Send Message
- Send GPS Location Coordinate
- Bill Enquiry
- Pay through mPay
- Pay through ePay
- Videos
- Payment Locations
- Feedback Form
- Push ...

My Bubbles Colors Edition  v.1.3.0.0


Expanded the about section to include feedback form, a product catalog browser.
Added more Telerik controls.

Updated in 1.2:
Bubbles now move smoothly without degrading performance
Updated in 1.1:
Decreased startup time
...





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Orbitum  v.35.0.1916.150

A nice feature of Orbitum is a feedback form, where you can write your comments and suggestions to the developers. Indeed, Orbitum is more than just a free web browser.

Live Support Chat Software  v.1.4

Everything is customizable from visitor chat start form, chat panel, chat images, auto-invitation images, to feedback form. The relevant chat code is to be inserted in the webpages and visitors can instantly click on chat icons to start chatting. eAssistance ...

REST Tester  v.1.0

If you use this software, and there's a feature you'd like to see, please don't hesitate to use the built-in feedback form to drop us a line ...

AMD Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Cervical Exam Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Chief Complaint Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Family & Past Medical History Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Lumbar Exam Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Pelvis & Lower Extremity Exam Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Review of Systems ROS Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

SOAP Notes Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Thoracic & Upper Extremity Exam Form - Sample

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

Dermatology History Form

Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval. We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no ...

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