Thank you for visiting Port Perry Imaging!

Your feedback is important! To help us deliver high quality patient-centred services, we would appreciate receiving feedback about your most recent visit. It is not necessary to include your name as all surveys are 100% confidential. However, if you would like us to contact you, please provide us with information including the best time for me to contact you.

Thank you for your feedback!

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* 1. How was the appointment for this visit made?

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* 2. Thinking about the visit you just had, on a scale of poor to excellent, how would you rate the following?

  Poor Good Excellent
The length of time it took between making your appointment and the visit you just had.
The hours that we are open.

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* 3. On a scale of poor to excellent, how would you rate the following?

  Poor Good Excellent
The helpfulness of the receptionist

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* 4. On a scale of poor to excellent, how would you rate the following?

  Poor Good Excellent
The cleanliness of our clinic?

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* 5. Thinking about your experience with our health care technician, on a scale of poor to excellent, how would you rate your experience:

  Poor Good Excellent
Listened to your concerns
Explained things in a way that was easy to understand
Was sensitive to your needs and preferences
 Gave clear instructions about what you need to do after your visit is over
Your overall experience speaking with the health care technician about the reason for your visit

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* 6. Thinking of your overall experience with the visit you just had, is there something that stands out that we are doing really well?

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* 7. Thinking of your overall experience with the visit you just had, are there any areas you feel could be improved upon?

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