Patient Satisfaction Survey

We value all patient feedback and appreciate the time taken to complete this survey. The information you provide will be treated as strictly confidential and will be used by us only to improve our service.

* 1. What Affidea clinic did you attend?

* 2. What type of scan did you have at Affidea?

* 3. When did your scan take place?

Enter date

* 4. How did you cover the cost of the scan?

* 5. Please rate our service according to the following:

  Excellent Very Good Good Average Poor
Making the appointment
Waiting time in clinic
Comfort and cleanliness of the clinic
Staff friendliness, sensitivity and professionalism
Information on what to do next
Level of hand hygiene observed

* 6. It is our Policy to ensure that the patients are identified correctly, did the Radiographer ask for your name and date of birth prior to the radiology examination ?.

* 7. Are there any comments that you would like to make in order to improve our services?

* 8. Thank you for taking the time to complete this survey. If you would like Affidea Ireland to follow-up with you with regards to your feedback please enter your name, email address and/or phone number below.

If your comment relates to the content of your radiology report, your referring physician needs to contact Affidea on the phone number supplied on the report.