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Nakuru, Kenya

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On a scale of 0-10, (where 0 is “very unlikely” and 10 is “very likely”) how likely are you to recommend us to friends & family? / Kwa kigezo cha 0-10, (ikiwa 0 ni “sitaweza kabisa” na 10 ni “kupendekeza sana”) utawezaje kuzipendekeza huduma zetu kwa ndugu ama marafiki?*

Optional / Hiari

What did you like the most about our services? / Ulipenda nini zaidi kuhusu huduma zetu?

What did you like the least about our services? / Ni kipi hakikufurahisha kuhusu huduma zetu?

What are your suggestions to improve services? / Unapendekeza nini ili kuimarisha huduma zetu?

For your feedback to be considered valid, please fill the information below / ili maoni yako yazingatiwe, tafadhali jaza hapa chini

Your Name / Jina

Email Address / Barua pepe

Phone / Nambari ya simu

Visit Number / Nambari ya kusajiliwa

Service sought / Huduma iliyohitajika*

Date / Tarehe*

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This feedback relates to/ Ulihudumiwa tawi gani*

Feedback Type/ Aina*

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