UMI CLINIC PATIENT SATISFACTION SURVEY

We would like to know how satisfied you are with the services you have received at UMI Community Imaging Clinic. Your feedback is very important to us. We appreciate you answering a few questions.

Question Title

* 1. The staff explained the procedure well

Strongly Disagree

Agree

Strongly Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 2. I was comfortable during the procedure

Strongly Disagree

Agree

Strongly Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 3. Overall, I had a good experience having my procedure done at UMI Clinic

Strongly Disagree

Agree

Strongly Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 4. Comments and Feedback