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Breast Diagnostic Specialists
Thank you for your time.
Your feedback helps us to improve our services.
1.
Which breast service(s) did you receive?
Mammogram
Ultrasound
Breast Biopsy
Other (please specify)
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)
3.
How did you book your appointment?
Telephone
SMS booking
Online booking
Other (please specify)
4.
How do you rate our booking system?
1 star
2 stars
3 stars
4 stars
5 stars
Comments
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
6.
What was the name of the staff member who did the imaging for you?
7.
How satisfied were you with the following?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Friendliness of the receptionist staff
Very Satisfied
Satisfied
Neutral
Dissatisfied
Professionalism of the imaging staff
Very Satisfied
Satisfied
Neutral
Dissatisfied
Communication and consultation on the day
Very Satisfied
Satisfied
Neutral
Dissatisfied
Practice interior, waiting rooms and environment
Very Satisfied
Satisfied
Neutral
Dissatisfied
Overall service experience
Very Satisfied
Satisfied
Neutral
Dissatisfied
Comments
8.
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)
9.
When selecting a mammography imaging centre what is important for you?
Important
Somewhat important
Not important
Where my doctors referred me
Important
Somewhat important
Not important
Reputation of the clinic
Important
Somewhat important
Not important
Convenience to me
Important
Somewhat important
Not important
Where I can get the quickest appointment
Important
Somewhat important
Not important
Same day results
Important
Somewhat important
Not important
Where I can talk to the doctor on the day
Important
Somewhat important
Not important
Latest technology
Important
Somewhat important
Not important
All staff are women
Important
Somewhat important
Not important
Comments
10.
How can we improve our services?
11.
Would you like us to contact you regarding your feedback?
Yes
No
12.
Contact Information (optional)
Full Name
Email Address
Phone Number