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 Name (Optional)
Name of Practice *
Have you always been able to contact NZMI to make a booking with ease?
Clear selection
Has your reception at NZMI, by phone or otherwise, always been polite and helpful?
Clear selection
Have you always been able to book a scan at a time that suits both your requirements and the patients?
Clear selection
Have you always received your scan reports on time?
Clear selection
Do you always find the reports clear and precise?
Clear selection
Are you happy with the format in which you receive your reports?
Clear selection
Which format do you prefer to receive reports?
Mail
Fax
Email
HealthLink
Format
Clear selection
Does NZMI offer the full range of nuclear Medicine services you require?
Clear selection
To indicate your overall impressions of NZ Medical Imaging please circle one of the following?
Clear selection
Suggestions for improvement
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy