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  5. Customer Satisfaction Survey
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Name
   
 
 
 
Ward/bed
   
 
 
 
Diet Type
 
Normal
 
Soft
 
Finely Chopped
 
Blended
 
 
 
Variety of Meals
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
Taste of Meals
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
Portion of Meals
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
Presentation of Meals
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
Temperature of Meals Served
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
Overall Rating of Meals Provided
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
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