Thank you for your referral, kindly take few minutes to share with us your level of satisfaction with the following:

1.Sufficient CT and MRI information on website

Excellent

Satisfied

Unsatisfied

N/A

2.Easiness of “Referral Form” completion

Excellent

Satisfied

Unsatisfied

N/A

3.Usefulness of the online referral vet account

Excellent

Satisfied

Unsatisfied

N/A

4.Responsiveness of ZVH staff to book CT/MRI appointment

Excellent

Satisfied

Unsatisfied

N/A

5.Satisfaction of the CT or MRI imaging report

Excellent

Satisfied

Unsatisfied

N/A

6.Overall efficiency of the referral process

Excellent

Satisfied

Unsatisfied

N/A

7.Kindly share with us your comments and areas for improvement:

8.Kindly enter your contact details if you would like to receive a call back from ZVH staff to further explain the referral process.

Name

Email address

Contact Number

400%