Breast Diagnostic Specialists Thank you for your time.Your feedback helps us to improve our services. Question Title * 1. Which breast service(s) did you receive? Mammogram Ultrasound Breast Biopsy Other (please specify) Question Title * 2. Why did you choose Breast Diagnostic Specialists? (You can choose more than one) GP referred me Reputation of the clinic Location Access to 3D Mammography Google search Recall or Reminder letter Other (please specify) Question Title * 3. How did you book your appointment? Telephone SMS booking Online booking Other (please specify) Question Title * 4. How do you rate our booking system? Comments Question Title * 5. Please tell us how long you waited in reception before your examination. Less than 5 min 5-10 min 10-15 min 15-20 min 20-30 min Over 30 min Question Title * 6. What was the name of the staff member who did the imaging for you? Question Title * 7. How satisfied were you with the following? Very Satisfied Satisfied Neutral Dissatisfied Friendliness of the receptionist staff Friendliness of the receptionist staff Very Satisfied Friendliness of the receptionist staff Satisfied Friendliness of the receptionist staff Neutral Friendliness of the receptionist staff Dissatisfied Professionalism of the imaging staff Professionalism of the imaging staff Very Satisfied Professionalism of the imaging staff Satisfied Professionalism of the imaging staff Neutral Professionalism of the imaging staff Dissatisfied Communication and consultation on the day Communication and consultation on the day Very Satisfied Communication and consultation on the day Satisfied Communication and consultation on the day Neutral Communication and consultation on the day Dissatisfied Practice interior, waiting rooms and environment Practice interior, waiting rooms and environment Very Satisfied Practice interior, waiting rooms and environment Satisfied Practice interior, waiting rooms and environment Neutral Practice interior, waiting rooms and environment Dissatisfied Overall service experience Overall service experience Very Satisfied Overall service experience Satisfied Overall service experience Neutral Overall service experience Dissatisfied Comments Question Title * 8. When selecting a mammography imaging centre what is important for you? Important Somewhat important Not important Where my doctors referred me Where my doctors referred me Important Where my doctors referred me Somewhat important Where my doctors referred me Not important Reputation of the clinic Reputation of the clinic Important Reputation of the clinic Somewhat important Reputation of the clinic Not important Convenience to me Convenience to me Important Convenience to me Somewhat important Convenience to me Not important Where I can get the quickest appointment Where I can get the quickest appointment Important Where I can get the quickest appointment Somewhat important Where I can get the quickest appointment Not important Same day results Same day results Important Same day results Somewhat important Same day results Not important Where I can talk to the doctor on the day Where I can talk to the doctor on the day Important Where I can talk to the doctor on the day Somewhat important Where I can talk to the doctor on the day Not important Latest technology Latest technology Important Latest technology Somewhat important Latest technology Not important All staff are women All staff are women Important All staff are women Somewhat important All staff are women Not important Comments Question Title * 9. Had you seen or heard about us before your visit? (You can choose more than one) At your GP At your Specialist Website Billboard Signs Word of mouth Magazine Radio TV Other (please specify) Question Title * 10. How can we improve our services? Question Title * 11. Would you like us to contact you regarding your feedback? Yes No Question Title * 12. Contact Information (optional) Full Name Email Address Phone Number Next
