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Locum Feedback Form

Please complete the feedback form below to help us evaluate the services provided by our locums and help us improve our services in the future.

Your Name (required)

Your Email (required)

Locum Name (required)

Organisation (required)

Department (required)

Booking Reference

Comments

Record Keeping
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Patient Interaction
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Team Interaction
ExcellentAveragePoor

Feedback Summary

Satisfied with the locums ability to provide care?
YesNo

Happy to rebook locum?
YesNo

Comments Feedback