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Sunshine Coast Radiology Referring doctor's Feedback form
1.
How satisfied are you with the following services from Sunshine Coast Radiology:
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Reports delivery
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Ease of viewing images online
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Patient satisfaction
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Ease of communication channels with our radiologists
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Our Practice Locations
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Useful Website information
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Overall service experience
Not at all Satisified
Not so Satisfied
Somewhat Satisfied
Very Satisfied
Extremely Satisfied
Comments
2.
How can we improve our services?
3.
What is you specialty?
GP
Specialist
Dentist
surgeon
Medical officer
Physiotherapist
Chiropractor
Radiologist
Other (please specify)
4.
Name and contact info (Optional)
Name
Practice Name
Email Address
Phone Number
