Referrer Satisfaction Survey
We would love to hear your thoughts or feedback on how we can improve your experience!
Email address *
Your Name (Optional)
Your answer
Your Name (Optional)
Your answer
Name of Practice *
Your answer
Have you always been able to contact NZMI to make a booking with ease?
Has your reception at NZMI, by phone or otherwise, always been polite and helpful?
Have you always been able to book a scan at a time that suits both your requirements and the patients?
Have you always received your scan reports on time?
Do you always find the reports clear and precise?
Are you happy with the format in which you receive your reports?
Which format do you prefer to receive reports?
Does NZMI offer the full range of nuclear Medicine services you require?
To indicate your overall impressions of NZ Medical Imaging please circle one of the following?
Suggestions for improvement
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service