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Health Services for Injured and Medically Repatriated Sailors

If a sailor is injured or becomes ill on one of your ships, Shiphealth Inc. can manage your sailor's health care needs upon repatriation.

Feedback Form

We would like to hear from you!

Please fill up the required fields, (*) mandatory fields

Name

Address

Contact Number

Email Address

Please select the box applicable to you*

Patient

Family

Staff

Other

Would you like to be contacted regarding your feedback?*

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Are you willing to be contacted for a evaluation purposes?*

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How would you rate our service?

Key: (1) - Poor, (2) - Fair, (3) - Good, (4) - Very Good, (5) - Excellent

Caring for the patient*

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3

4

5

Reliability*

1

2

3

4

5

Promptness*

1

2

3

4

5

Conciseness*

1

2

3

4

5

Accuracy of Information*

1

2

3

4

5

Professionalism*

1

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4

5

Do you have any more comments?

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How can we improve our service to serve you better?

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