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We would appreciate if you could help us by taking a few minutes to provide your feedback.
 
Your feedback is important to us;
- The information you provide is confidential and will not affect your access to services, but used to improve our services we provide to you and other patients.
- If you need help filling in this survey, can you ask a relative or a friend to help you.
- If you are a parent or caregiver and this survey is intended for your child, please help them fill it out, or do it on their behalf.
 
Thank you for participating in our survey. If you have any further queries, please contact us on 06 348 3221 or wdhb.org.nz.
 
This survey is subject to the Official Information Act, the Statistics Act and the Government Statisticians' protocols for Official Statistics.

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* 1. Are you male or female?

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* 2. What is your ethnicity? (Please select all that apply)

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* 3. What is your age?

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* 4. What examination did you come in for?

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* 5. Where was your examination performed?

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* 6. If you had a booked appointment:

  Poor Fair Good Very Good Excellent N/A
What did you think of the wait for an appointment?
Did you understand the information/instructions sent to you for your appointment?
Ability to contact staff with any questions/concerns about your appointment?

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* 7. Radiology Impression:

  Poor Fair Good Very Good Excellent N/A
What did you think of the signage directing you to Radiology?
Did you feel welcomed when you arrived at Radiology?
How did you feel about the length of time you spent in the waiting room?

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* 8. How long did you spend in the Radiology waiting room before being taken for your examination?

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* 9. During your examination:

  Poor Fair Good Very Good Excellent N/A
Did staff give you a clear explanation of the procedure?
How were you treated by staff during your examination?
Were your questions/concerns answered to your satisfaction?
Did you feel that you received enough information to give written consent (if applicable)?
Did the performing staff member explain who would receive the results and when they would be available?

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* 10. Overall:

  Poor Fair Good Very Good Excellent N/A
How did you find the quality of the facilities at Radiology?
What was the cleanliness of Radiology?
How do you rate the service you received from the staff at Radiology overall?

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* 11. Do our opening hours suit you?

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* 12. How could we improve our service?

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* 13. Do you have any other comments, questions, or concerns?

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