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* 1. The scheduling of my exam was easy and trouble free.

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* 2. Upon arrival, the reception staff was pleasant and professional.

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* 3. The check-in process was efficient and my examination was taken in a timely fashion.

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* 4. The technical staff was pleasant, professional, and compassionate.

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* 5. The staff addressed any and all concerns I may have had upon arrival.

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* 6. The staff was concerned with my privacy.

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* 7. After the injection of the radioisotope, my wait was a quiet and comfortable experience.

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* 8. The imaging procedure was as I expected based upon the information provided to me by the staff members of the imaging center.

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* 9. The facility was clean and comfortable.

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* 10. What can we do to improve?

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* 11. Comments:

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* 12. Completed by: (optional)

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* 13. Date of my PET/CT Scan

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