Patient Survey We welcome patient feedback to assist us in monitoring the quality of our service. Please take a few minutes to provide us with important information to assist us in our effort to better serve you. Step 1 of 15 6% Patient Experience Survey NameDate of Visit MM DD YYYY Examination performedUltrasoundX-rayBMD Was it easy to book an initial appointment?YesNo Did you have any difficulty finding the clinic?YesNo Did you receive a reminder call about your appointment?YesNo Did you receive proper preparation instructions for your exam today?YesNo Were you greeted courteously when you arrived in the clinic?YesNo Were you taken to the examination room in a reasonable length of time?YesNo Were your questions answered satisfactorily?YesNo Were you treated with courtesy and respect during the examination?YesNo Was your privacy respected during your visit?YesNo Did you find the atmosphere of the clinic pleasant?YesNo Would you recommend this clinic to your family and friends?YesNo Comments/Suggestions for ImprovementCAPTCHAEmailThis field is for validation purposes and should be left unchanged.