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Diagnostic Imaging - Patient Satisfaction Survey
We are committed to improving your patient experience at SHN and we value your feedback. Please let us know how we did today.
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I am a:
*
Patient
Family Member
Service received at:
*
Birchmount
Centenary
General
What type of exam did you have today?
*
CT
Interventional
Mammogram
MRI
Nuclear Medicine
Ultrasound
X-Ray
Rate your experience at Diagnostic Imaging - SHN
*
Poor
1
2
3
4
Excellent
Would you recommend this hospital to family?
*
Definitely yes
Probably yes
Probably no
Definitely no
What did we do well?
Your answer
What could we have done better to improve your experience in Diagnostic Imaging?
Your answer
Would you like to recognize someone?
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Appointment Date
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MM
/
DD
/
YYYY
If you would like to speak to us, please leave your name and email or phone number below
Name
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Email Address
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Phone number
Your answer
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