Thank you for completing this survey about your experience with the Imaging Services department at Bermuda Hospitals Board. Your feedback is important to us and will help us improve the quality of our services.

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* 1. I am:

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* 2. Date of your appointment

Date

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* 3. Did you receive your appointment information within two days of your doctor's request?

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* 4. How long was it between the date of your doctor's request and your appointment date?

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* 5. How easy or difficult was it to schedule your appointment?

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* 6. Were the staff professional?

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* 7. Were the staff responsive to your needs?

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* 8. Were the staff prepared and ready for you when your test began?

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* 9. Was the correct test performed based on your doctor's request?

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* 10. Overall, how satisfied were you with your experience?

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* 11. What was good about your experience?

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* 12. What could have been improved?

It would help us to know a little about you. Although this section is optional, it helps us to better understand if different groups of people have different experiences with us. You will not be identified by any of the information provided.

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* 13. What is your gender?

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* 14. What is your age?

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* 15. Do you consider yourself to have a disability?

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* 16. I am:

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* 17. As part of this survey, it may be helpful for us to collect more information about your experience. Would you be willing for BHB to contact you? If yes, please provide your contact information.

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