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1.

1. What type of exam have you recently had? (Please Select One)

2. Was our reception staff friendly and helpful?

  Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied
Please Select One

3. Was the waiting area comfortable and accommodating?

  Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied
Please Select One

4. Was your test started in a timely fashion?

  Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied
Please Select One

5. Was the technologist polite and informative about your procedure?

  Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied
Please Select One

6. How would you rate your overall experience?

  Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied
Please Select One

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