1.Was the Technologist on time with your scheduled appointment today?

On time

Within 5-10 minutes

Within 11-20 minutes

Within 21-30 minutes

Over 30 minutes late

*2.Did you have confidence and trust in the Technologist performing your exam today?(Required.)

Definitely

For the most part

Somehwat

Not at all

*3.During this Medical Imaging visit, my personal information was kept confidential.(Required.)

Always

Often

Sometimes

Rarely

Never

*4.If you had questions to ask the Technologist, did you get answers that you could understand?(Required.)

Definitely

For the most part

Somewhat

Not at all

I did not need to ask

I did not have an opportunity to ask

*5.Did a member of the staff tell you how you would find out the results of your test(s)?(Required.)

Definitely

For the most part

Somewhat

Not at all

Not sure / Can’t remember

I did not need an explanation

6.During this Medical Imaging visit, how often did the Technologist treat you with courtesy and respect?

Always

Often

Sometimes

Rarely

Never

*7.Would you recommend this Medical Imaging department to your friends and family?(Required.)

Definitely Yes

Probably Yes

Probably No

Definitely No

8.In the future, what would be your preferred method of booking your Medical Imaging appointments?

Online Booking

Telephone Booking / Leave a Message to Request an Appointment

Other (please specify)

9.Comments or suggestions: