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* 1. What type of exam did you have?

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* 2. Were you seen within 15 minutes of your scheduled time?

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* 3. Were you provided with a requisition before coming to the clinic?

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* 4. Did our scheduling procedure and availability meet your needs?

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* 5. Is our location convenient and accessible?

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* 6. Were you greeted upon arrival?

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* 7. Was the reception staff pleasant and professional?

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* 8. Was our registration process easy and efficient?

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* 9. Was our reception area clean and tidy?

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* 10. Did you find the waiting room media informative?

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* 11. If exam prep was required, were you given adequate instructions?

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* 12. Was your technologist pleasant and professional?

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* 13. Was your procedure/exam explained to you?

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* 14. Have you visited our radiology offices in the past?

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* 15. If yes, how did today's visit compare to your last?

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* 16. What made today's visit better or worse?

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* 17. Additional Comments:

If you have any questions or concerns, please contact the Clinic Manager at 403-328-1122.

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