Skip to content

Standard LINK Survey (sample)

Welcome

Please take a minute to provide your feedback confidentially. It's just a few questions! Feedback is reviewed regularly to improve our services.

This feedback form is implemented by FHI 360 via the EpiC Project with support from PEPFAR and USAID.

*1.Who is completing this form?(Required.)

👩‍⚕️ Service provider on behalf of client

😷 A client or patient

🙋 A community worker on behalf of a client

*2.For which service do you want to provide feedback?(Required.)

💗 Community clinic

❌ I did not receive services yet

Privacy & Cookie Notice