How are we doing?
Please fill out this online comment card.  All submissions will be reviewed and handled accordingly.

(Please fill in to the best of your ability.)
Name: 
Department:
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Floor:
Room Number:
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Work Order Number:
Technician Name:

Technician Rating
Scale of 1-10
(10 being the best)

Customer Service

 Professionalism

 Knowledgeable

 Quickness

 Thoroughness
Comments:

 

 

 

Maintained by: Phillip Andy
Copyright © 2001 [VCU Health System]. All rights reserved.
Revised: November 20, 2003