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* 1. On which day of the week did you visit the Radiology Department?

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* 2. When did you attend for your scan/procedure? 

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* 3. Which of the following did you attend Blackrock Clinic for?

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* 4. How much do you agree or disagree with the following statements?

  Totally agree Slightly agree Neither agree nor disagree Slightly disagree Totally disagree
I was given the necessary information prior to my scan/procedure
I was given an appointment in a timely manner
The diagnostic department was clean at all times
My privacy was respected and dignity maintained at all times
The staff were professional, courteous and helpful throughout

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* 5. Please state one thing that would have improved your experience

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* 6. Please state one aspect that exceeded your expectation

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* 7. If you would like us to respond to your views please write your name and address

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